SplenectomyPancreasResectionOpen distal pancreatectomyCentral pancreatectomySpleen Preserving Distal PancreatectomyPostoperativePancreaticoduodenectomyResectionsDistal pancreatectomiesAutotransplantationPartialLesionsIndicationsGastrectomyComplicationsPerioperativeUnderwentTumorsSurgPatientsChronic pancreatitisMorbidityLaparoscopic techniqueProcedureTotalPancreaticojejunostomyMetastasisSplenicConclusionNeoplasmCysticMedianMayo ClinicMinimally invasive techniquesIsolationRobotic techniqueSurgery
Splenectomy5
- Our aim was to evaluate the effect of total pancreatectomy with spleen preservation as well as splenectomy on the quality of life of the patients. (turkjsurg.com)
- The septic and haematological consequences of splenectomy lead to the development of spleen-preserving techniques during distal pancreatectomy. (symbiosisonlinepublishing.com)
- This lead to dispelling of the concept of splenectomy as an innocuous procedure and the development of Spleen Preserving Distal Pancreatectomy (SPDP). (symbiosisonlinepublishing.com)
- The investigators focused on patients who had an indication for elective distal pancreatectomy plus splenectomy due to proven or highly suspected pancreatic ductal adenocarcinoma in the pancreatic body or tail. (medscape.com)
- In this case, Dr. Carlos Fernandez-del Castillo at MGH performs and narrates an open distal pancreatectomy with splenectomy in a patient who has undergone neoadjuvant treatment for pancreatic adenocarcinoma. (jomi.com)
Pancreas8
- The precise role of central pancreatectomy in the management of benign or low-malignant potential lesions of the neck of the pancreas remains in evolution. (elsevierpure.com)
- We are one of the few digestive disorders centers in the United States that performs total pancreatectomy and auto-islet transplantation, a highly specialized technique that involves total removal of the pancreas. (upmc.com)
- If you have acute pancreatitis that keeps coming back and that affects your quality of life, or painful chronic pancreatitis that doesn't improve after other treatments, you may benefit from pancreas removal (pancreatectomy). (hopkinsmedicine.org)
- A distal pancreatectomy is a surgery performed to remove the body and tail of the pancreas. (ypo.education)
- We herein report the outcomes of four cases of LA spleen-preserving distal pancreatectomy (Warshaw technique [WT]) in living pancreas donors. (elsevierpure.com)
- In 2019, mass lesions were noted in the residual pancreas and total pancreatectomy was performed. (bvsalud.org)
- Another area of Dr. Prachand's expertise is in the application of minimally invasive techniques for the treatment of gastrointestinal tumors of the esophagus, stomach, pancreas and small intestine. (uchicagomedicine.org)
- These techniques are used regularly for surgery of the pancreas including distal pancreatectomy and pancreatoduodenectomy. (biomedcentral.com)
Resection10
- Distal Pancreatectomy with En Bloc Celiac Axis Resection After Neoadjuvant Therapy for Locally Advanced Pancreatic Adenocarcinoma. (columbiasurgery.org)
- Common indications for elective total pancreatectomy include chronic pancreatitis that is refractory to medical management, premalignant lesions (intraductal papillary mucinous neoplasms) where partial resection is not sufficient, pancreatic neuroendocrine tumors, and malignant tumors of the pancreas ( 2 - 4 ). (turkjsurg.com)
- Resection was recommended, and spleenpreserving, pancreatectomy (SPDP) sparing the spleenic artery and vein was carried out (Figures 2). (symbiosisonlinepublishing.com)
- Long Term Results of Pancreatectomy With and Without Venous Resection: A Comparison of Safety and Complications of Spiral Graft, End-to-End and Tangential/Patch Reconstruction Techniques. (helsinki.fi)
- We reported a case in which a pancreatic resection was performed for pancreatic metastasis of renal cell carcinoma 24 years after nephrectomy, and a residual pancreatectomy was performed 4 years later for residual pancreatic recurrence. (bvsalud.org)
- Depending on the extent of resection, pancreatic surgeries for malignancy include enucleation (for islet cell tumors ), partial pancreatic resections ( distal pancreatectomy , central pancreatectomy , pancreaticoduodenectomy / Whipple procedure ), and total pancreatectomy . (amboss.com)
- Indications and techniques of extended resection for pancreatic cancer. (medicalnote.jp)
- Changes in morbidity after pancreatic resection: toward the end of completion pancreatectomy. (edu.pl)
- Siriwardana H, Siriwardena A: Systematic review of outcome of synchronous portal-superior mesenteric vein resection during pancreatectomy for cancer. (edu.pl)
- R0 Versus R1 Resection Matters after Pancreaticoduodenectomy, and Less after Distal or Total Pancreatectomy for Pancreatic Cancer. (tum.de)
Open distal pancreatectomy2
- BACKGROUND: Laparoscopic distal pancreatectomy (LDP) reduces postoperative morbidity, hospital stay, and recovery as compared with open distal pancreatectomy. (elsevierpure.com)
- Patients from 35 centers in 12 countries were recruited between May 2018 and May 2021 and were randomly assigned to undergo either MIDP or open distal pancreatectomy. (medscape.com)
Central pancreatectomy8
- Hypothesis: Central pancreatectomy has been used sparingly because the spectrum of indications is quite narrow. (elsevierpure.com)
- Our objectives were to describe the technique and determine the safety and effectiveness of central pancreatectomy in the excision of benign or low-malignant potential lesions of the pancreatic neck. (elsevierpure.com)
- Patients: Eight patients (4 men, 4 women) underwent central pancreatectomy between 1998 and 2004. (elsevierpure.com)
- Intervention: Patients with pancreatic neck or proximal body masses underwent central pancreatectomy at the Mayo Clinic, Rochester, Minn. Main Outcome Measures: Patients were followed up closely for postoperative complications during the initial hospital admission. (elsevierpure.com)
- Conclusions: Central pancreatectomy may preserve endocrine and exocrine function. (elsevierpure.com)
- While mortality is low, in our experience, central pancreatectomy is associated with a high complication rate. (elsevierpure.com)
- Caution is necessary when using central pancreatectomy in the treatment of pancreatic neck lesions. (elsevierpure.com)
- Surgeon experience is of utmost importance in this decision-making process as well as the technical aspects of central pancreatectomy. (elsevierpure.com)
Spleen Preserving Distal Pancreatectomy3
- Vessels-Sparing Spleen-Preserving Distal Pancreatectomy. (symbiosisonlinepublishing.com)
- We report a case of a middle age woman who underwent spleen-preserving distal pancreatectomy for a symptomatic pancreatic cystic lesion. (symbiosisonlinepublishing.com)
- Vessels-Sparing, Spleen-preserving distal pancreatectomy is an optimum choice for benign Pancreatic Cystic Lesions. (symbiosisonlinepublishing.com)
Postoperative4
- After total pancreatectomy, quality of life of the patients is reduced both by surgical factors and by metabolic factors due to endocrine and exocrine insufficiency in the postoperative period. (turkjsurg.com)
- In addition, conversion total pancreatectomy is performed in patients who are scheduled for partial pancreatectomy but considered to be at high risk of developing pancreatic fistula in the postoperative period, and completion total pancreatectomy is also performed after complications such as postoperative bleeding and abscess development after partial pancreatectomy ( 7 - 9 ). (turkjsurg.com)
- The secondary outcomes include postoperative major complications (Clavien-Dindo≥3), postoperative pancreatic fistula (POPF), post-pancreatectomy acute pancreatitis (PPAP), infection, and unexpected relaparotomy, as well as postoperative length of stay, 30-day mortality, and 90-day mortality. (biomedcentral.com)
- The main postoperative complications include postoperative pancreatic fistula (POPF), post-pancreatectomy hemorrhage (PPH), and delayed gastric emptying (DGE). (biomedcentral.com)
Pancreaticoduodenectomy3
- All patients had undergone upper gastrointestinal surgery, either pancreaticoduodenectomy (PD), PD+left lobe hepatectomy (left HPD) total pancreatectomy, total gastrectomy, or both esophagectomy and total gastrectomy. (e-ce.org)
- Pancreatic surgery: Robotic technology can be employed for pancreatic resections, including Whipple procedure, distal pancreatectomy, and robotic-assisted pancreaticoduodenectomy. (asterhospitals.in)
- [ 1 ] Despite progress in our understanding of PDAC development and improvements in surgical techniques, the survival rate has not substantially changed since the introduction of pancreaticoduodenectomy 80 years ago. (medscape.com)
Resections4
- A total of 175 resections of the pancreatic head (69.4%), 37 distal pancreatectomies (14.7%), 23 total pancreatectomies (9.1%) and 18 other pancreatic resections (7.1%) were performed within our study period. (iiarjournals.org)
- One Hundred Thirty Resections for Pancreatic Neuroendocrine Tumor: Evaluating the Impact of Minimally Invasive and Parenchyma-Sparing Techniques. (columbiasurgery.org)
- This includes procedures such as esophagectomy, total and subtotal gastrectomy, distal pancreatectomy, and partial small bowel and colon resections. (uchicagomedicine.org)
- His accomplishments include the refinement of techniques for laparoscopic-assisted formal liver resections, particularly the development of smaller incisions. (emory.edu)
Distal pancreatectomies1
- METHODS: We performed a retrospective analysis of all minimally invasive distal pancreatectomies at University of Pittsburgh Medical Center between January 2004 and February 2011. (elsevierpure.com)
Autotransplantation3
- Reducing warm ischemic time can optimize islet cell yield in pancreatic islet cell autotransplantation following total pancreatectomy. (sages.org)
- This procedure is called total pancreatectomy with islet autotransplantation. (hopkinsmedicine.org)
- Bramis K et al, "Systematic review of total pancreatectomy and islet autotransplantation for chronic pancreatitis. (transonic.com)
Partial2
- 5] Severe cases of congenital HI may be unresponsive to either diazoxide or octreotide and require intensive management with tube feedings, near-total pancreatectomy, or partial pancreatectomy. (medscape.com)
- If the expected decrease in insulin hypersecretion by reconstructive surgery is not achieved, partial or complete pancreatectomy remains the only possible approach to prevent hypoglycemia. (almclinmed.ru)
Lesions2
- During follow-up, in 2015, mass lesions were noted in the pancreatic tail and distal pancreatectomy was performed on suspicion of pancreatic neuroendocrine tumor(NET). (bvsalud.org)
- Preoperative endoscopic tattooing of pancreatic body and tail lesions decreases operative time for laparoscopic distal pancreatectomy. (ouhsc.edu)
Indications3
- We hypothesized that robot-assisted distal pancreatectomy (RADP) was superior to LDP as a result of improved surgical manipulation and visualization, potentially expanding the indications for minimally invasive pancreatectomy. (elsevierpure.com)
- We concluded that robotic assistance may broaden indications for minimally invasive pancreatectomy. (elsevierpure.com)
- The indications for SPDP are visited, different techniques for spleenpreserving pancreatectomy are examined and the rationale behind the chosen technique is explained. (symbiosisonlinepublishing.com)
Gastrectomy4
- Outcome following minimally invasive oesophagectomy and gastrectomy have shown this technique to be safe and potentially beneficial in reducing pulmonary complications and length of stay. (bl.uk)
- Oesophagectomy, gastrectomy and pancreatectomy for cancer have all demonstrated a positive volume-outcome relationship. (bl.uk)
- In addition to performing the laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy procedures , he was the first surgeon in the Midwest to perform a totally laparoscopic biliopancreatic diversion with duodenal switch. (uchicagomedicine.org)
- Gastric surgery: Robotic-assisted gastrectomy (removal of part or all of the stomach) can be performed using robotic GI surgery techniques. (asterhospitals.in)
Complications1
- It also illustrates a useful vascular reconstruction technique for PV complications. (umn.edu)
Perioperative3
- Five (35.7%) patients underwent perioperative total pancreatectomy because of high risk of pancreatic fistula development due to hard parenchyma and narrow pancreatic duct. (turkjsurg.com)
- The results of the present study will guide the perioperative use of dexamethasone and help improve the clinical management of post-pancreatectomy patients. (biomedcentral.com)
- Perioperative mortality for pancreatectomy: a national perspective. (edu.pl)
Underwent1
- The patient underwent drainage of pancreatic effusion using laparoscopic techniques. (springer.com)
Tumors1
- Minimally invasive pancreatectomy, particularly the distal procedure, was introduced around 25 years ago, but it was initially used only for benign tumors or borderline malignancies. (medscape.com)
Surg1
- Sutherland DE et al, "Total pancreatectomy and islet autotrans-plantation for chronic pancreatitis," J Am Coll Surg. (transonic.com)
Patients8
- In patients with a dilated pancreatic duct, a Roux-en-Y side-to-side pancreaticojejunostomy is indicated. (medscape.com)
- Using the LCM technique, islets can be isolated from only a few hundred micrograms of pancreatic tissue procured during routine processing of surgical specimens of patients undergoing pancreatic surgery. (tu-dresden.de)
- The endocrine and exocrine pancreatic insufficiency that develops in patients after total pancreatectomy can lead to a serious decrease in the quality of life of the patients due to pain, diarrhea, vomiting etc. (turkjsurg.com)
- A total of 47 total pancreatectomy patients, 30 (63.8%) males and 17 (36.2%) females, were included in the study. (turkjsurg.com)
- However, the role it plays in post-pancreatectomy patients has not been systematically evaluated. (biomedcentral.com)
- CHICAGO - Patients with resectable, early-stage pancreatic cancer can safely undergo minimally invasive distal pancreatectomy (MIDP) as an alternative to traditional open surgery, suggest results from the international DIPLOMA study. (medscape.com)
- EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA. (e-ce.org)
- 1 - 4 However, tissue acquisition in patients with a surgically altered anatomy (SAA), including those who had undergone Billroth II gastric surgery and Roux-en-Y gastric bypass, is challenging. (e-ce.org)
Chronic pancreatitis1
- This video demonstrates a robotic total pancreatectomy with autoislet transplantation in a 20 year old patient with chronic pancreatitis secondary to a SPINK mutation. (sages.org)
Morbidity3
- Total pancreatectomy is a major surgical procedure with serious risk of mortality and morbidity, and patient selection is important for prognosis. (turkjsurg.com)
- After the first successful total pancreatectomy was performed by the Viennese surgeon Theodor Billroth in 1884, there have been many developments in pancreatic surgery over the last century, but the high mortality and morbidity rates have made surgeons hesitant about pancreatic surgery ( 5 ). (turkjsurg.com)
- Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. (ouhsc.edu)
Laparoscopic technique1
- In the laparoscopic technique, 2-3 keyhole incisions are made. (ypo.education)
Procedure1
- A distal pancreatectomy procedure is a complex surgery that typically takes a few hours and can be performed laparoscopically or as an open surgery. (ypo.education)
Total6
- Performing a total pancreatectomy without division of the pancreatic neck may also potentially increase islet cell yield. (sages.org)
- The robotic total pancreatectomy is achieved without division of the pancreatic neck and by maintaining vascular inflow (GDA and splenic artery) to the entire specimen right up until extraction. (sages.org)
- A total pancreatectomy and islet autotransplant (TPIAT) is a surgical option to relieve chronic pain while preserving the available β-cell mass. (umn.edu)
- However, there has been an increase in the number of pancreatic surgeries and total pancreatectomies in the last 2-3 decades due to new treatment modalities, surgical techniques, surgeons' experience and knowledge, and the increase in the number of health care institutions with high technology and facilities. (turkjsurg.com)
- The main purpose of this study was to assess the feasibility and relevant applying techniques of total thyroidectomy for thyroid carcinoma with a modified Miccoli's approach. (biomedcentral.com)
- Laparoscopic Spleen-Preserving Total Pancreatectomy for a Main-Duct Intraductal Papillary Mucinous Neoplasm. (ouhsc.edu)
Pancreaticojejunostomy1
- Laparoscopic pancreaticojejunostomy using a barbed suture: a novel technique. (ouhsc.edu)
Metastasis1
- There was 5 cases in Japan, including an our case, in which pancreatectomy was performed again after pancreatectomy for pancreatic metastasis of renal cancer, and the average time until the first pancreatic metastasis was pointed out was 11.8 years, and the average time until pancreatic recurrence was 9.4 years. (bvsalud.org)
Splenic1
- In this article we review relevant literature on splenic embolization indication, and technique, comparing and contrasting proximal and distal embolization. (springeropen.com)
Conclusion1
- Conclusion A hybrid approach was initially preferred to perform RDP taking origin from more than a decade of experience in laparoscopic distal pancreatectomy. (unina.it)
Neoplasm1
- Prophylactic Pancreatectomy for Intraductal Papillary Mucinous Neoplasm Does Not Negatively Impact Quality of Life: A Preliminary Study. (columbiasurgery.org)
Cystic1
- pancreatectomy 5 years previous because of cystic ad- enoma and adrenal incidentaloma without hormonal activity. (cdc.gov)
Median2
- Setting: The Mayo Clinic surgical index was used to identify procedures matched for central, median, middle, or middle segment pancreatectomy. (elsevierpure.com)
- The median donor operation time for pancreatectomy was 340.5 minutes. (elsevierpure.com)
Mayo Clinic1
- Mayo Clinic se esfuerza en publicar nuevos materiales traducidos con frecuencia. (mayoclinic.org)
Minimally invasive techniques1
- In recent years, use of minimally invasive techniques for pancreatic cancer has become an increasingly "hot topic in many surgical forums," Hilal said. (medscape.com)
Isolation1
- Contemporary research of beta cell biology in context of type-2 diabetes is based mainly on the long-standing technique for isolation of the pancreatic islets of Langerhans. (tu-dresden.de)
Robotic technique2
Surgery6
- Although some reports have described hand-assisted laparoscopic surgery for distal pancreatectomy in living-donor operations, less-invasive laparoscopy-assisted (LA) procedures are expected to increase the donor pool. (elsevierpure.com)
- For pancreatic cancer, we have proven for the first time that minimally invasive distal pancreatectomy is as good as open surgery," commented principal investigator Mohammad Abu Hilal, MD, PhD, surgical director at the Instituto Ospedaliero Fondazione Poliambulanza in Brescia, Italy. (medscape.com)
- He told Medscape Medical News that minimally invasive surgery is becoming "very common all over the world," particularly in the United States, and that randomized controlled trials are "always the last step" in convincing people to use the technique. (medscape.com)
- This confirmatory study proves that minimally invasive surgical techniques are a safe and effective option for resectable pancreatic cancer," commented ASCO expert Jennifer F. Tseng, MD, chair of surgery at Boston Univesrity School of Medicine and surgeon-in-chief at the Boston Medical Center. (medscape.com)
- Minimally Invasive surgical techniques rapidly became utilized worldwide for gallbladder surgery and were then adapted to other abdominal operations. (biomedcentral.com)
- He explains his technique and the advantages afforded by adoption of the endoscope in ear surgery. (jomi.com)