췌장 두부 및 경부의 낭성 종양에서의 췌장 중앙 부분 절제술
Central Segmental Resection of Pancreas for Cystic Neoplasms in Head andNeck of Pancreas
민석기, 한호성, 김영우, 김유진, 이남준, 최용만, 유권,
소속 상세정보
민석기 ( Min Seog-Ki )
이화여자대학교 의과대학 외과학교실
한호성 ( Han Ho-Seong )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
김유진 ( Kim Eu-Gene )
이화여자대학교 의과대학 외과학교실
이남준 ( Yi Nam-Joon )
이화여자대학교 의과대학 외과학교실
최용만 ( Choi Yong-Man )
이화여자대학교 의과대학 외과학교실
유권 ( Yoo Kwon )
이화여자대학교 의학전문대학원 내과학교실
KMID : 0371320020620020162
Abstract
Purpose: Pancreatic cystic neoplasm is a rare disease. It should be
resected regardless of the presence of symptoms due to the possibility of
malignancy. Standard pancreatic resection such as PPPD or distal
pancreatectomy accompanies the loss of a significant amount of normal
pancreatic parenchyma and may cause an impairment of normal pancreatic
functions. On the contrary, pancreatic enucleation is known to have risks of
pancreactic fistula or abscess. The aim of this study is to elucidate
whether segmental resection of the pancreas is a safe and effective
treatment in cystic neoplasms in the head and neck of the pancreas.
Methods: We reviewed the medical records of seven patients treated
with central segmental resection of the pancreas for cystadenoma at Ewha
Womans University Mokdong Hospital from December 2000 to April 2001. All
lesions were located at the head and neck of the pancreas. A cephalic stump
was sutured for closure of minute pancreatic ductal leakage and hemostasis,
and the distal stump was anastomosed with a Roux-en-Y jejunal loop.
Postoperative pancreatic functions, complications, and follow up results
were analysed. Results: The mean age of the patients was 48.14
(±9.55) years old. The pathological diagnoses were 4 cases of serous
cystadenoma and 3 cases of mucinous cystadenoma. The mean size was 2.03
(±0.7) ㎝. The average operating time was 299.3 (±44.2) minutes. There
were two cases of minor complications that were mild pancreatic fistulas
without symptoms. There was no operative mortality, impairment of pancreatic
function, or recurrence. The mean postoperative hospital stay was 23.6 days.
Conclusion: Segmental resection of the pancreas can be a rational
therapeutic option for cystic neoplasms in the head and neck of the pancreas
in terms of the potential benefit of preserving pancreatic function.
키워드
췌장 중앙 부분 절제; 췌장 낭성 종양; Central segmental resection of pancreas; Pancreatic cystic neoplasm;
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