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- Title
Laparoscopic clamp-crushing enucleation with a pancreatic duct stent for tumors located close to the main pancreatic duct.
- Authors
Sakamoto, Katsunori; Ogawa, Kohei; Takai, Akihiro; Tamura, Kei; Iwata, Miku; Ito, Chihiro; Sakamoto, Akimasa; Matsui, Takashi; Nishi, Yusuke; Uraoka, Mio; Nagaoka, Tomoyuki; Funamizu, Naotake; Takada, Yasutsugu
- Abstract
The perioperative management and technical details of laparoscopic clamp-crushing enucleation for low-malignant-potential pancreatic neuroendocrine neoplasms (PNENs) located close to the main pancreatic duct (MPD) in the body/tail of the pancreas using a perioperative MPD stent are reported. The procedure was performed in two patients with PNEN (13 and 10 mm in diameter) in the body/tail of the pancreas. A naso-pancreatic stent (NPS) was placed preoperatively in both patients. Resection was performed using Maryland-type bipolar forceps. The surgical duration was 139 and 55 min, and the estimated blood loss was 5 and 0 mL, respectively. One patient was discharged uneventfully on postoperative day (POD) 12. The other patient developed a grade B pancreatic fistula, but was discharged on POD 22. Laparoscopic clamp-crushing enucleation with an NPS might be a viable treatment option for tumors located close to the MPD.
- Subjects
MARYLAND; PANCREATIC duct; BLOOD loss estimation; PANCREATIC tumors; NEUROENDOCRINE tumors; PANCREATIC fistula; HOSPITAL admission &; discharge; PANCREAS
- Publication
Surgery Today, 2022, Vol 52, Issue 4, p721
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-021-02428-w