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Anatomical segmentectomy of the pancreatic head along the embryological fusion plane: A case series and a literature review.

Abstract Anatomical segmentectomy of the pancreatic head along the embryological fusion plane (EFP) has been used in the treatment of benign, borderline, and low-grade malignancy neoplasms. However, few studies have reported on the outcomes of this procedure. The aim of this study was to retrospectively assess the outcomes of anatomical segmentectomy of the pancreatic head along the EFP.
PMID
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Anatomical segmentectomy of the head of the pancreas along the embryological fusion plane: a feasible procedure?

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29718872
OWN - NLM
STAT- MEDLINE
DCOM- 20180508
LR  - 20180508
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 18
DP  - 2018 May
TI  - Anatomical segmentectomy of the pancreatic head along the embryological fusion
      plane: A case series and a literature review.
PG  - e0623
LID - 10.1097/MD.0000000000010623 [doi]
AB  - RATIONALE: Anatomical segmentectomy of the pancreatic head along the
      embryological fusion plane (EFP) has been used in the treatment of benign,
      borderline, and low-grade malignancy neoplasms. However, few studies have
      reported on the outcomes of this procedure. The aim of this study was to
      retrospectively assess the outcomes of anatomical segmentectomy of the pancreatic
      head along the EFP. PATIENT CONCERNS: We experienced two patients who underwent
      anatomical segmentectomy of the pancreatic head along the EFP for the treatment
      of pancreatic cystadenoma. Case 1 was a 69-year-old man presented with upper
      abdominal pain that had lasted for 3 months. Case 2 was a 52-year-old man
      presented with upper abdominal pain that had lasted for 1 week. DIAGNOSIS: Both
      patients were diagnosed of pancreatic cystadenoma. INTERVENTION: Anatomical
      segmentectomy of the pancreatic head along the EFP was performed. OUTCOMES: Both 
      patients successfully underwent anatomical segmentectomy of the pancreatic head
      along the EFP, including ventral segmentectomy and dorsal segmentectomy, and each
      patient recovered uneventfully. With the inclusion of these 2 cases, there are
      now a total of 15 cases that have been reported in the literature, including 9
      cases of ventral segmentectomy and 6 cases of dorsal segmentectomy. Although
      pancreatic fistula occurred in 6 of these patients (40%), all of the patients
      recovered completely without severe complications. LESSONS: These results suggest
      that anatomical segmentectomy of the pancreatic head along the EFP is a safe and 
      feasible procedure for cases of benign pancreatic disease confined to the dorsal 
      or ventral segment of the pancreas.
FAU - Zhu, Chunfu
AU  - Zhu C
AD  - Department of General Surgery, The Affiliated Changzhou No. 2 People's Hospital
      with Nanjing Medical University, Changzhou, China.
FAU - Jia, Zhongzhi
AU  - Jia Z
FAU - Zhang, Xudong
AU  - Zhang X
FAU - Yu, Qiang
AU  - Yu Q
FAU - Qin, Xihu
AU  - Qin X
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Cystadenoma/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pancreas/*embryology/*surgery
MH  - Pancreatectomy/*methods
MH  - Pancreatic Neoplasms/*surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2018/05/03 06:00
MHDA- 2018/05/09 06:00
CRDT- 2018/05/03 06:00
PHST- 2018/05/03 06:00 [entrez]
PHST- 2018/05/03 06:00 [pubmed]
PHST- 2018/05/09 06:00 [medline]
AID - 10.1097/MD.0000000000010623 [doi]
AID - 00005792-201805040-00040 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(18):e0623. doi: 10.1097/MD.0000000000010623.