Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Laparoscopic pancreatic surgery in patients with neuroendocrine tumours: indications and limits
Autore:
Fernandez-Cruz, L; Herrera, M; Saenz, A; Pantoja, JP; Astudillo, E; Sierra, M;
Indirizzi:
Univ Barcelona, Hosp Clin, Inst Digest Dis IMD, Dept Surg,GastrointestinalSurg Dept, Barcelona, Spain Univ Barcelona Barcelona Spain trointestinalSurg Dept, Barcelona, Spain Inst Nacl Ciencias Med & Nutr Salvador Zubiran, INNSZ, Mexico City, DF, Mexico Inst Nacl Ciencias Med & Nutr Salvador Zubiran Mexico City DF Mexicoico
Titolo Testata:
BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM
fascicolo: 2, volume: 15, anno: 2001,
pagine: 161 - 175
SICI:
1521-690X(200106)15:2<161:LPSIPW>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISLET-CELL TUMORS; NEOPLASIA TYPE-I; SURGICAL-MANAGEMENT; INSULINOMA; LOCALIZATION; EXPERIENCE; ULTRASONOGRAPHY; NEED;
Keywords:
endocrine pancreatic tumours; non-functioning tumour; insulinoma; laparoscopic distal pancreatectomy; laparoscopic enucleation; laparoscopic ultrasonography; laparoscopic spleen salvage;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Fernandez-Cruz, L Univ Barcelona, Hosp Clin, Inst Digest Dis IMD, Dept Surg,GastrointestinalSurg Dept, Barcelona, Spain Univ Barcelona Barcelona Spain Dept, Barcelona, Spain
Citazione:
L. Fernandez-Cruz et al., "Laparoscopic pancreatic surgery in patients with neuroendocrine tumours: indications and limits", BEST PRAC R, 15(2), 2001, pp. 161-175

Abstract

Laparoscopic pancreatic procedures are still at an evaluation stage with regard to their indications and techniques. Between January 1998 and December 2000, 13 patients with endocrine pancreatic tumours - 11 insulinomas and 2 non-functioning rumours - underwent laparoscopic surgery, laparoscopic ultrasonography being used in all the patients. Enucleation was performed in five patients. The operative time was 2-3 hours. Distal pancreatectomy was performed in six patients with insulinomas, and spleen preservation with intact splenic vessels was feasible in five. Splenectomy was necessary in onepatient for technical reasons. Laparoscopic distal pancreatectomy with splenic vessel preservation was performed in two patients with a large (6 and 8 cm) non-functioning tumour. The mean operative time for all the patients undergoing distal pancreatectomy was 4 hours, ranging from 3 to 5 hours. A pancreatic fistula occurred in three patients after tumour enucleation and in two patients after distal pancreatectomy; the mean hospital stay for allpatients was 5 days. Enucleation guided by laparoscopic ultrasonography thus allows safe tumour dissection and excision, laparoscopic distal pancreatectomy also being feasible and safe. Splenic salvage with splenic vessel preservation is technically possible. The laparoscopic approach allows a shorter hospital stay and an earlier return to normal activities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:28:41