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Central pancreatectomy

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https://www.readbyqxmd.com/read/27891265/a-unique-case-of-pancreatic-mass-due-to-pancreatic-elastofibromatosis
#1
Abhinav Goyal, Deepanshu Jain, Ishfaq Bhat, Shailender Singh
Elastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never in pancreas. We therefore present the case of a 45-year-old female who presented with intermittent abdominal pain. CT of abdomen revealed 1.4 cm pancreatic neck lesion without peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) guided FNA was nondiagnostic...
2016: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/27884801/effect-of-flexible-duty-hour-policies-on-length-of-stay-for-complex-intra-abdominal-operations-a-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial-analysis
#2
Jonah J Stulberg, Emily Pavey, Mark E Cohen, Clifford Y Ko, David B Hoyt, Karl Y Bilimoria
BACKGROUND: Changes to resident duty hour policies in the Flexibility in Duty Hour Requirements for Surgical Trainees ("FIRST") Trial could impact hospitalized patients' length of stay (LOS) by altering care coordination. LOS may also serve as a reflection of all complications, particularly those not captured in the FIRST Trial (eg, pneumothorax from central line). Programs were randomized to either maintaining current ACGME duty hour policies ("Standard Arm") or more flexible policies waiving rules on maximum shift lengths and time off between shifts ("Flexible Arm")...
November 8, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27778058/-closure-of-pancreas-stump-after-distal-and-segmental-resection-suture-stapler-coverage-or-anastomosis
#3
C W Michalski, P Tramelli, M W Büchler, T Hackert
Postoperative pancreatic fistulas represent the most frequent complication after distal and segmental pancreatectomy and occur with a frequency of up to 50 %. There are many technical variations of pancreatic stump treatment for reduction of fistula rates after distal resection. Most of these techniques have only been analyzed in retrospective studies and the evidence for or against a specific technique is low. Several retrospective trials have been conducted with good results to compare suturing with stapled closure of the remnant and to assess the effect of a vascularized falciform ligament patch in reducing postoperative pancreatic fistula; however, in a recently published randomized trial, which analyzed closure of the remnant with a pancreaticojejunostomy compared to standard closure, these results could not be confirmed...
October 24, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27729750/central-pancreatectomy-for-pancreatic-schwannoma-a-case-report-and-literature-review
#4
Shao-Yan Xu, Ke Sun, Kwabena Gyabaah Owusu-Ansah, Hai-Yang Xie, Lin Zhou, Shu-Sen Zheng, Wei-Lin Wang
Schwannomas are mesenchymal tumors originating from Schwann cells in peripheral nerve sheaths. Although the tumor can be located in any part of the human body, the most common locations are the head, neck, trunk and extremities. Pancreatic schwannomas are rare. To our knowledge, only 64 cases of pancreatic schwannoma have been reported in the English literature over the past 40 years. In this paper, we present a pancreatic schwannoma in a 59-year-old female. Ultrasound, computed tomography and magnetic resonance imaging revealed the tumor located in the pancreatic body; however, accurate diagnosis was hard to obtain preoperatively and a pancreatic cystadenoma was preliminarily considered...
October 7, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27701882/a-single-institution-s-21-year-experience-with-surgically-resected-pancreatic-neuroendocrine-tumors-an-analysis-of-survival-and-prognostic-factors
#5
Javier A Cienfuegos, Fernando Rotellar, Joseba Salguero, Miguel Ruiz-Canela, Jorge M Núñez Córdoba, Iosu Sola, Alberto Benito, Gabriel Zozaya, F Pardo, José Luis Hernández Lizoáin
BACKGROUND: Pancreatic neuroendocrine tumors (pNETs) comprise a heterogeneous group of tumors with a varied biological behavior. In the present study, we analyzed the experience of 79 pNETs resected between 1999 and 2014. The pathologic prognostic factors (European Neuroendocrine Tumor Society, ENETS; and AJCC) classification, vascular invasion (VI), proliferation index (ki-67) and the presence of necrosis were retrospectively reviewed. METHODS: The clinical data of 79 patients with pNETs who underwent surgery were retrospectively analyzed...
October 5, 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27688035/current-status-of-laparoscopic-pancreaticoduodenectomy-and-pancreatectomy
#6
Akira Umemura, Hiroyuki Nitta, Takeshi Takahara, Yasushi Hasegawa, Akira Sasaki
This review describes the recent advances in, and current status of, minimally invasive pancreatic surgery (MIPS). Typical MIPS procedures are laparoscopic pancreaticoduodenectomy (LPD), laparoscopic distal pancreatectomy (LDP), laparoscopic central pancreatectomy (LCP), and laparoscopic total pancreatectomy (LTP). Some retrospective studies comparing LPD or LDP and open procedures have demonstrated the safety and feasibility as well as the intraoperative outcomes and postoperative recovery of these procedures...
September 26, 2016: Asian Journal of Surgery
https://www.readbyqxmd.com/read/27506420/diabetes-induction-by-total-pancreatectomy-in-minipigs-with-simultaneous-splenectomy-a-feasible-approach-for-advanced-diabetes-research
#7
Sophie Heinke, Barbara Ludwig, Undine Schubert, Janine Schmid, Thomas Kiss, Anja Steffen, Stefan Bornstein, Stefan Ludwig
BACKGROUND: Safe and reliable diabetes models are a key prerequisite for advanced preclinical studies on diabetes. Chemical induction is the standard model of diabetes in rodents and also widely used in large animal models of non-human primates and minipigs. However, uncertain efficacy, the potential of beta-cell regeneration, and relevant side effects are debatable aspects particularly in large animals. Therefore, we aimed to evaluate a surgical approach of total pancreatectomy combined with splenectomy for diabetes induction in an exploratory study in Goettingen minipigs...
September 2016: Xenotransplantation
https://www.readbyqxmd.com/read/27497957/hanging-maneuver-for-stomach-traction-in-laparoscopic-distal-pancreatic-resections-an-original-technique-applied-in-218-patients
#8
Safi Dokmak, Béatrice Aussilhou, Fadhel Samir Ftériche, Jacques Belghiti, Alain Sauvanet
BACKGROUND: Stomach traction done to expose the pancreas is still a problem in laparoscopic left pancreatic resections. We developed a simple hanging maneuver to retract the stomach rapidly and effectively. METHODS: After dividing the gastrocolic ligament, the stomach was encircled with a tape, turned along its horizontal axis and pulled with an epigastric trocar, which was later removed. This technique was used in all patients who underwent laparoscopic left pancreatic resections including 165 distal pancreatectomies (DP), 35 central pancreatectomies (CP) and 18 enucleations (En)...
August 6, 2016: Digestive Surgery
https://www.readbyqxmd.com/read/27438035/minimally-invasive-surgery-for-pseudopapillary-neoplasm-of-the-pancreas
#9
Guilherme Naccache Namur, Thiago Costa Ribeiro, Marcelo M Souto, Estela Regina Ramos Figueira, Telesforo Bacchella, Ricardo Jureidini
BACKGROUND: Solid pseudopapillary pancreatic neoplasia is usually a large well-circumscribed pancreatic mass, with cystic and solid areas more frequently found in young women. It is a benign pancreatic neoplasia in most cases, therefore minimally invasive surgery could be an interesting approach. AIM: Evaluate the results of minimally invasive surgery for this neoplasia. METHODS: Patients with this tumor who underwent minimally invasive pancreatectomies between 2009 and 2015 in a single institution, were analyzed regarding demographic, clinical-pathological futures, post-operative morbidity and disease-free survival...
April 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27423534/short-and-long-term-outcomes-after-enucleation-of-pancreatic-tumors-an-evidence-based-assessment
#10
Yanming Zhou, Min Zhao, Lupeng Wu, Feng Ye, Xiaoying Si
BACKGROUND AND OBJECTIVE: Enucleation of pancreatic tumors is rarely performed. The aim of this study was to evaluate the published evidence for its short- and long-term outcomes. METHODS: PubMed (MEDLINE) and EMBASE databases were searched from 1990 to March 2016. Studies including at least ten patients who underwent enucleation of pancreatic lesions were included. Data on the outcomes were synthesized and meta-analyzed where appropriate. RESULTS: Twenty-seven studies involving 1316 patients were included in the systematic review...
July 9, 2016: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/27389029/-postprandial-pancreatic-11-c-methionine-uptake-after-pancreaticoduodenectomy-mirrors-basal-beta-cell-function-and-insulin-release
#11
Emanuel Steiner, Lukas Kazianka, Robert Breuer, Marcus Hacker, Wolfgang Wadsak, Markus Mitterhauser, Thomas Stimpfl, Birgit Reiter, Georgios Karanikas, Johannes Miholic
PURPOSE: [S-methyl-(11)C]-L-methionine ([(11)C]MET) uptake in the pancreas might be a central indicator of beta cell function. Since gastric emptying was recently shown to influence glycemic control in subjects after pancreaticoduodenectomy (PD, the surgical treatment of neoplasms of the pancreas head), we looked for imaginable relationships between gastric emptying, pre- and postprandial insulin concentrations, and [(11)C]MET uptake. METHODS: Nineteen tumor-free survivors after PD (age mean ± SD: 61 ± 8...
July 7, 2016: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/27364750/pancreatic-surgery-for-tumors-in-children-and-adolescents
#12
Maria G Sacco Casamassima, Colin D Gause, Seth D Goldstein, Fizan Abdullah, Avner Meoded, Jeffrey R Lukish, Christopher L Wolfgang, John Cameron, David J Hackam, Ralph H Hruban, Paul M Colombani
PURPOSE: Pancreatic neoplasms are uncommon in children. This study sought to analyze the clinical and pathological features of surgically resected pancreatic tumors in children and discuss management strategies. METHODS: We conducted a retrospective review of patients ≤21 years with pancreatic neoplasms who underwent surgery at a single institution between 1995 and 2015. RESULTS: Nineteen patients were identified with a median age at operation of 16...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27362725/-epidemiology-clinical-features-and-treatment-of-chronic-pancreatitis-current-knowledge-and-future-perspectives
#13
Gabriele Capurso, Livia Archibugi, Serena Stigliano, Gianfranco Delle Fave
Chronic pancreatitis is a complex disease both for the epidemiology, with uncertain data on the exact prevalence, but also for the etiology, often not identified and for whom, compared to the past, post acute pancreatitis forms are showing a high impact; also smoking is an etiological factor often underestimated compared to alcohol. Chronic pancreatitis is associated with high mortality and morbidity, mostly due to extrapancreatic diseases. The eventual occurrence of exocrine or endocrine pancreatic insufficiency can lead to complications, often serious and not prevented in time...
June 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27355261/prospective-randomized-controlled-trial-of-liberal-vs-restricted-perioperative-fluid-management-in-patients-undergoing-pancreatectomy
#14
Florence Grant, Murray F Brennan, Peter J Allen, Ronald P DeMatteo, T Peter Kingham, Michael D'Angelica, Mary E Fischer, Mithat Gonen, Hao Zhang, William R Jarnagin
OBJECTIVE: The aim of this study is to examine, by a prospective randomized controlled trial, the influence of liberal (LIB) vs restricted (RES) perioperative fluid administration on morbidity following pancreatectomy. SUMMARY OF BACKGROUND DATA: Randomized controlled trials in patients undergoing major intra-abdominal surgery have challenged the historical use of LIB fluid administration, suggesting that a more restricted regimen may be associated with fewer postoperative complications...
October 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27346711/laparoscopic-central-pancreatectomy-for-insulinoma-with-video
#15
D E Villacreses, J A Stauffer, J Horacio, J Asbun
No abstract text is available yet for this article.
December 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27275632/preoperative-modified-folfirinox-treatment-followed-by-capecitabine-based-chemoradiation-for-borderline-resectable-pancreatic-cancer-alliance-for-clinical-trials-in-oncology-trial-a021101
#16
Matthew H G Katz, Qian Shi, Syed A Ahmad, Joseph M Herman, Robert de W Marsh, Eric Collisson, Lawrence Schwartz, Wendy Frankel, Robert Martin, William Conway, Mark Truty, Hedy Kindler, Andrew M Lowy, Tanios Bekaii-Saab, Philip Philip, Mark Talamonti, Dana Cardin, Noelle LoConte, Perry Shen, John P Hoffman, Alan P Venook
IMPORTANCE: Although consensus statements support the preoperative treatment of borderline resectable pancreatic cancer, no prospective, quality-controlled, multicenter studies of this strategy have been conducted. Existing studies are retrospective and confounded by heterogeneity in patients studied, therapeutic algorithms used, and outcomes reported. OBJECTIVE: To determine the feasibility of conducting studies of multimodality therapy for borderline resectable pancreatic cancer in the cooperative group setting...
August 17, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27275466/laparoscopic-long-sleeve-pancreaticogastrostomy-lpg-a-novel-pancreatic-anastomosis-following-central-pancreatectomy
#17
Long R Jiao, Tamara M H Gall, Mikael H Sodergren, Ruifang Fan
BACKGROUND: Central pancreatectomy (CP) is preferred to distal pancreatectomy (DP) for the excision of benign tumours at the neck or body of the pancreas, in order to preserve pancreatic function and the spleen. However, the pancreaticoenterostomy is technically difficult to perform laparoscopically and the postoperative pancreatic fistula (POPF) rate is high. METHODS: A novel laparoscopic reconstruction of the pancreatic stump during CP is described, the laparoscopic long sleeve pancreaticogastrostomy (LPG)...
June 2016: Hepatobiliary Surgery and Nutrition
https://www.readbyqxmd.com/read/27206401/robotic-assisted-pancreatic-resections
#18
Ugo Boggi, Niccolò Napoli, Francesca Costa, Emanuele F Kauffmann, Francesca Menonna, Sara Iacopi, Fabio Vistoli, Gabriella Amorese
BACKGROUND: Robotic assistance enhances surgical dexterity and could facilitate wider adoption of laparoscopy for pancreatic resections (PR). METHODS: Data were prospectively entered into a database and analyzed retrospectively to assess feasibility and safety of robotic-assisted PR (RAPR). Additionally, robotic-assisted pancreaticoduodenectomy (RAPD) was compared to a contemporary group of open pancreaticoduodenectomies (OPD). RESULTS: Between October 2008 and October 2014, 200 consecutive patients underwent RAPR...
October 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27130378/the-results-of-pancreatic-resections-and-long-term-survival-for-pancreatic-ductal-adenocarcinoma-a-single-institution-experience
#19
H Seppänen, A Juuti, H Mustonen, C Haapamäki, S Nordling, M Carpelan-Holmström, J Sirén, J Luettges, C Haglund, T Kiviluoto
OBJECTIVES: Since the early 1990s, low long-term survival rates following pancreatic surgery for pancreatic ductal adenocarcinoma have challenged us to improve treatment. In this series, we aim to show improved survival from pancreatic ductal adenocarcinoma during the era of centralized pancreatic surgery. METHODS: Analysis of all pancreatic resections performed at Helsinki University Hospital and survival of pancreatic ductal adenocarcinoma patients during 2000-2013 were included...
April 29, 2016: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27096469/double-pancreaticojejunostomy-in-pure-laparoscopic-central-pancreatectomy-an-uncommon-reconstructive-strategy
#20
Elisa Francone, Stefano Berti, Giovanni M Celoria, Claudio Bianchi, Prospero Magistrelli, Luigi D'Ambra, Cosimo Feleppa, Emilio Falco
No abstract text is available yet for this article.
April 2016: Minerva Chirurgica
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