지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.9
- 수록면
- 179 - 183 (5page)
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초록· 키워드
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Purpose : Pancreaticoduodenectomy (PD) or distal pancreatectomy (DP) are treatments used for pancreatic benign neoplasms even though both of these treatments result in significant loss of normal pancreatic parenchyma; this leads to subsequent impaiment of exocrine and endocrine pancreatic function. The purpose of this study is to provide short-and long-term result of limited resection (LR) in a single center.
Methods : Two-hundred thirty patients who had undergone pancreatic resection between April 1998 and September 2008 for benign neoplasms were reviwed retrospectively. DP was performed in 102 patients, LR in 77, PD in 51 patients. The definitions of the International Study Group of Pancreatic Fistula (ISGPF) were applied to postoperative pancreatic fistulas (POPF), perioperative endocrine function was evaluated through oral glucose tolerance test.
Results: LR includes 42 enucleation, 24 central pancreatectomy, and 11 uncinate process resection, No deaths occurred to patients during the study review period; POPF was detected in 50 patients(65%), 37 patients with grade A and 13 patients with grade B of C, POPF occurred 65% of the time after LR, more frequently compared to the occurrance after PD of DP (58%), but this was not statistically significant (P=322). After LR, there waere 2 patients with new onset diabetes(3%), while 26(17%) patients developed diabetes after DP or PD(P=002).
Comcpusion : LR may preserve endocrine and exocrine function, While motality is low with the use of LR is associated with a higher pancreatic-leaking rate. The precise management of benign pancreatic lesions remains evolution.
Methods : Two-hundred thirty patients who had undergone pancreatic resection between April 1998 and September 2008 for benign neoplasms were reviwed retrospectively. DP was performed in 102 patients, LR in 77, PD in 51 patients. The definitions of the International Study Group of Pancreatic Fistula (ISGPF) were applied to postoperative pancreatic fistulas (POPF), perioperative endocrine function was evaluated through oral glucose tolerance test.
Results: LR includes 42 enucleation, 24 central pancreatectomy, and 11 uncinate process resection, No deaths occurred to patients during the study review period; POPF was detected in 50 patients(65%), 37 patients with grade A and 13 patients with grade B of C, POPF occurred 65% of the time after LR, more frequently compared to the occurrance after PD of DP (58%), but this was not statistically significant (P=322). After LR, there waere 2 patients with new onset diabetes(3%), while 26(17%) patients developed diabetes after DP or PD(P=002).
Comcpusion : LR may preserve endocrine and exocrine function, While motality is low with the use of LR is associated with a higher pancreatic-leaking rate. The precise management of benign pancreatic lesions remains evolution.
목차
서론
대상 및 방법
결과
고찰
결론
참고문헌
참고문헌 (29)
참고문헌 신청
1. [보고서] - Zhou J / 2009 / Central pancreatectomy for benign tumors of the neck and body of the pancreas: Report of eight cases
2. [학술지(정기간행물)] - Whipple AO / 1935 / Treatment of carcinoma of the ampulla of vater / Ann Surg 102 : 763 ~ 779
3. [학술지(정기간행물)] - Jones RC / 1978 / Management of pancreatic trauma / Ann Surg 187 : 555 ~ 564
4. [학술지(정기간행물)] - Cameron JL / 1993 / One hundred and forty-five consecutive pancreaticoduodenectomies without mortality / Ann Surg 217 : 430 ~ 435
5. [학술지(정기간행물)] - Machado MC / 1994 / Cystic neoplasm of the pancreas: analysis of 24 cases / Rev Hosp Clin Fac Med Sao Paulo 49 : 208 ~ 212
2. [학술지(정기간행물)] - Whipple AO / 1935 / Treatment of carcinoma of the ampulla of vater / Ann Surg 102 : 763 ~ 779
3. [학술지(정기간행물)] - Jones RC / 1978 / Management of pancreatic trauma / Ann Surg 187 : 555 ~ 564
4. [학술지(정기간행물)] - Cameron JL / 1993 / One hundred and forty-five consecutive pancreaticoduodenectomies without mortality / Ann Surg 217 : 430 ~ 435
5. [학술지(정기간행물)] - Machado MC / 1994 / Cystic neoplasm of the pancreas: analysis of 24 cases / Rev Hosp Clin Fac Med Sao Paulo 49 : 208 ~ 212
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UCI(KEPA) : I410-ECN-0101-2014-514-001302927