Article
Surgery
Yunqiang Cai, Zhenjiang Zheng, Pan Gao, Yongbin Li, Bing Peng
Summary: This study included 9 male patients and 15 female patients with a median age of 43 years. All patients underwent duodenum-preserving total pancreatic head resection laparoscopically. The median operative time was 255 min, median estimated blood loss was 200 ml, and median post-operative hospital stay was 10 days. Three patients had biliary fistula, and eleven patients had pancreatic fistula, with only one being grade B.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Guangchen Zu, Weibo Chen, Di Wu, Yue Zhang, Xuemin Chen
Summary: The study analyzed the clinical outcomes of minimally invasive duodenum-preserving pancreatic head resection (DPPHRt) for benign lesions and low-grade malignant tumors of the pancreatic head. The results showed that both robot-assisted and laparoscopic procedures were successful in preserving organs and achieving treatment goals, but there were also complications associated with the surgery.
Article
Medicine, General & Internal
Xueqing Liu, Zixuan Hu, Xinbo Zhou, Jianzhang Qin, Zhongqiang Xing, Yunfei Liang, Jiayue Duan, Jia Liu, Jianhua Liu
Summary: A study was conducted on laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) in 64 patients. The average operation time was 275 minutes and the average postoperative hospital stay was 12 days. The incidence of pancreatic fistula was 10.9% and that of biliary fistula was 9.4%.
Review
Gastroenterology & Hepatology
Hans G. Beger, Benjamin Mayer, Bertram Poch
Summary: DPPHR is associated with fewer surgery-related complications and lower in-hospital mortality compared to PD for benign pancreatic tumors. Tailored use of DPPHRt or DPPHRp contributes to a reduction in surgery-related complications. DPPHR has the potential to replace PD for benign tumors of the pancreatic head.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Review
Oncology
Agata Mormul, Emilia Wloszek, Julia Nowoszewska, Marta Fudalej, Michal Budzik, Anna Badowska-Kozakiewicz, Andrzej Deptala
Summary: Pancreatic ductal adenocarcinoma is the most common pancreatic tumor, accounting for 85% of cases. The remaining 15% consists of various rare neoplasms. This study gathered the latest data on the epidemiology, diagnosis, biomarkers, and management of six rare pancreatic tumors to provide important insights for their proper classification and treatment.
Article
Oncology
Ahmad Alkhasawneh, Tasnuva Rashid, Ibraheem Mohammed, Basma Elhaddad, Hassan Al-Balas, Mayur Virarkar, Ziad Awad, Brett Baskovich, Arun Gopinath
Summary: This study evaluated the prognostic significance of duodenal wall invasion in pancreatic adenocarcinoma. It found that duodenal wall invasion is associated with lymph node metastasis but not with disease-free/overall survival.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Gastroenterology & Hepatology
Jae Ri Kim, Hongbeom Kim, Wooil Kwon, Jin-Young Jang, Sun-Whe Kim
Summary: This study on pancreatic ductal adenocarcinoma (PDAC) patients identified different types of recurrence and frequent locations of local recurrence, with preoperative tumor location correlating with the rate of local recurrence.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2021)
Article
Surgery
Yi Wu, Nuerabula Wujimaimaiti, Jingxiong Yuan, Shizhen Li, Hang Zhang, Min Wang, Renyi Qin
Summary: This study identified the risk factors for achieving textbook outcome (TO) after laparoscopic duodenum-preserving total pancreatic head resection (LDPPHR-t). Placing an endoscopic nasobiliary drainage (ENBD) catheter and prolonged operation time were major obstacles to achieving TO after LDPPHR-t.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Thomas M. Pausch, Xinchun Liu, Josefine Dincher, Pietro Contin, Jiaqu Cui, Jishu Wei, Ulrike Heger, Matthias Lang, Masayuki Tanaka, Stephen Heap, Joerg Kaiser, Rosa Klotz, Pascal Probst, Yi Miao, Thilo Hackert
Summary: Middle segment-preserving pancreatectomy (MPP) is a feasible alternative to total pancreatectomy (TP) for treating multilocular diseases in the pancreatic head and tail, as it can preserve pancreatic functionality while avoiding impairments. A study analyzing MPP cases compared to TP cases found that MPP patients had better preserved pancreatic functionality, but a higher rate of POPF Grade B complications. Longer pancreatic remnants were associated with shorter hospital stays and fewer complications, while complications of endocrine functionality were linked to older patients. Long-term survival prospects after MPP were positive, except for cases with recurring malignancies and metastases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Oncology
Zhenshan Shi, Dairong Cao, Qian Zhuang, Ruixiong You, Xiumei Li, Zhongmin Li, Yueming Li, Xinming Huang
Summary: Pancreatic schwannoma usually presents as a well-circumscribed oval or round pancreatic mass with MRI showing low signal on T1-weighted imaging, inhomogeneous high signal on T2-weighted imaging, and high signal on diffusion-weighted imaging. The tumor demonstrates early slight enhancement on dynamic contrast-enhanced MRI, with progressive enhancement at portal venous and delayed phases.
Article
Surgery
Min Zhou, Simiao Xu, Dang Chao, Min Wang, Feng Zhu, Feng Peng, Hang Zhang, Xingjun Guo, Xu Li, Ruizhi He, Jikuan Jin, Yi Wu, Yang Gao, Yechen Feng, Renyi Qin
Summary: This study introduces a new surgical approach for laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) and evaluates its feasibility and safety in treating pancreatic head tumors. Thirty patients underwent the surgery successfully with a low complication rate and no biliary tract injury or duodenal leakage observed. The operative mortality rate was 0%.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Oncology
Oscar Paredes, Yoshikuni Kawaguchi, Carlos Luque-Vasquez, Ivan Chavez, Eduardo Payet, Eloy Ruiz, Juan Celis, Francisco Berrospi, Kori Paredes
Summary: Solid pseudopapillary neoplasm (SPN) is frequently diagnosed in young women and has a good overall prognosis after R0 surgical resection, even in cases of recurrence. Age ≥ 28 years, tumor diameter ≥ 10 cm, invasion of adjacent organs, lymph node metastasis (pN +), and AJCC Stage III were identified as predictors for recurrence in resected SPN.
Article
Medicine, General & Internal
Shao-Yan Xu, Bo Zhou, Shu-Mei Wei, Ya-Nan Zhao, Sheng Yan
Summary: This case report presents a rare case of pancreatic schwannoma treated with enucleation, resulting in successful recovery postoperatively. Pancreatic schwannomas are extremely rare and difficult to diagnose preoperatively. Enucleation is a safe and efficacious treatment for exophytic pancreatic schwannomas.
Article
Radiology, Nuclear Medicine & Medical Imaging
Jeong Hee Yoon, Jae Seok Bae, Sunkyung Jeon, Won Chang, Sang Min Lee, Jin Young Park, Jeong Sub Lee, Eun Sun Lee, In Rae Cho, Sang-Hyub Lee, Jeong Min Lee
Summary: The study aimed to establish an accelerated MRI protocol for pancreatic cancer surveillance and evaluate its performance in lesion characterization. 30 participants underwent the protocol, and the results showed that accelerated MRI had similar diagnostic performance to CECT and higher diagnostic confidence.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2022)
Article
Surgery
Zhaozhi Xia, Shuchao Zhao, Xin Gao, Hongrui Sun, Faji Yang, Huaqiang Zhu, Hengjun Gao, Jun Lu, Xu Zhou
Summary: This study aimed to investigate the short-term clinical outcomes of laparoscopic duodenum-preserving pancreatic-head resection (LDPPHR) for the management of pancreatic-head cystic neoplasms. The results showed that LDPPHR can decrease the postoperative exhaust time of patients, improve the short-term postoperative nutritional status, and does not decrease the safety of the perioperative period compared with laparoscopic pancreaticoduodenectomy (LPD).