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1Parenchyma-sparing pancreatectomies for benign or border-line tumors of the pancreas显示文摘Standard pancreatic resections, such as pancreaticoduodenectomy, distal pancreatectomy, or total pancreatectomy, result in an important loss of normal pancreatic parenchyma and may cause impairment of exocrine and endocrine function. Whilst these procedures are mandatory for malignant tumors, they seem to be too extensive for benign or border-line tumors, especially in patients with a long life expectancy. In recent years, there has been a growing interest in parenchyma-sparing pancreatic surgery with the aim of achieving better functional results without compromising oncological radicality in patients with benign, border-line or low-grade malignant tumors. Several limited resections have been introduced for isolated or multiple pancreatic lesions, depending on the location of the tumor: central pancreatectomy, duodenum-preserving pancreatic head resection with or without segmental duodenectomy, inferior head resection, dorsal pancreatectomy, excavation of the pancreatic head, middle-preserving pancreatectomy, and other multiple segmental resections. All these procedures are technically feasible in experienced hands,with very low mortality, although with high morbidity rate when compared to standard procedures. Pancreatic endocrine and exocrine function is better preserved with good quality of life in most of the patients, and tumor recurrence is uncommon. Careful patient selection and expertise in pancreatic surgery are crucial to achieve the best results.Cosimo Sperti Valentina Beltrame Anna Caterina Milanetto Margherita Moro Sergio Pedrazzoli 2010World Journal of Gastrointestinal Oncology2010,2,6:11
2乙状结肠节细胞神经瘤1例并文献复习显示文摘节细胞神经瘤( ganglioneuroma ),又称神经节细胞瘤、神经节瘤,是发生于周围神经组织的含有成熟神经元的良性肿瘤,分化良好,生长缓慢,主要发生于植物神经系统,常见于纵隔、腹膜后及肾上腺等,发生于胃肠道者罕见[1]。本文对我院诊治的1例乙状结肠节细胞神经瘤病例进行回顾性分析,并结合国内外相关文献对该肿瘤的临床病理学特点、诊断、治疗及预后进行分析研究,以期待提高及加深对肠道节细胞神经瘤的认识。李娟 张婷婷 白莉 2015四川医学2015,36,3:2
3胰腺节细胞神经瘤一例显示文摘节细胞神经瘤是一种罕见的起源于交感神经元的良性肿瘤。节细胞神经瘤多无特征性临床症状,B超或CT可发现该肿瘤,多数确诊依据术后病理。本例患者行胰十二指肠切除术治疗,术后2周患者出院。术后预后良好,随访3个月未见复发。王小磊 姬静伟 吴昊 王春丽 王广义 杨峰田 孟珊珊 魏锋 2020中华肝胆外科杂志2020,26,11:0
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