Endoscopic naso-pancreatic stent-guided single-branch resection of the pancreas for multiple intraductal papillary mucinous adenomas.
In benign or low-grade malignant pancreatic tumors, complete removal of the lesion is sufficient for a cure, and thus minimal resection techniques with preservation of the pancreatic functional reserve have advantages over more extended pancreatic resections. However, a high incidence of postoperative pancreatic fistula in such procedures has been reported. Moreover, branch-type intraductal papillary mucinous neoplasms of the pancreas tend to locate in the head of the pancreas, and show less malignant potential. We describe an endoscopic naso-pancreatic stent-guided single-branch resection of the pancreas for branch-type multiple intraductal papillary mucinous adenomas, along with a gastric wall-covering method for the prevention of pancreatic leakage.
Kuroki
Tamotsu
T
Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7- 1 Sakamoto, Nagasaki 852-8501, Japan. tkuroki-gi@umin.ac.jp
Tajima
Yoshitsugu
Y
Tsutsumi
Ryuji
R
Tsuneoka
Noritsugu
N
Kitasato
Amane
A
Adachi
Tomohiko
T
Kanematsu
Takashi
T
D000236:Adenoma / Q000601:surgery*; D016145:Endoscopy, Digestive System / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011859:Radiography; D015607:Stents; D014463:Ultrasonography