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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 World+J+Gastroenterol
2015 ; 21
(22
): 7047-51
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gab.com Text
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English Wikipedia
Laparoscopic fenestration of pancreatic serous cystadenoma: Minimally invasive
approach for symptomatic benign disease
#MMPMID26078583
Dokmak S
; Aussilhou B
; Rasoaherinomenjanahary F
; Sauvanet A
; Vullierme MP
; Rebours V
; Lévy P
World J Gastroenterol
2015[Jun]; 21
(22
): 7047-51
PMID26078583
show ga
Serous cystadenoma (SC) is a benign pancreatic cystic tumor. Surgical resection
is recommended for symptomatic forms, but laparoscopic fenestration of large
symptomatic macrocystic SC was not yet described in the literature. In this
study, 3 female patients underwent laparoscopic fenestration for macrocystic SC
(12-14 cm). Diagnosis was established via magnetic resonance imaging and
endoscopic ultrasound, with intra-cystic dosage of tumors markers (ACE and
CA19-9) in 2 patients. All patients were symptomatic and operated on 15-60 mo
after diagnosis. Radiological evaluation showed constant cyst growth. Patients
were informed about this new surgical modality that can avoid pancreatic
resection. The mean operative time was 103 min (70-150 min) with one conversion.
The post-operative course was marked by a grade A pancreatic fistula in one
patient and was uneventful in the other two. The hospital stay was 3, 10, and 18
d, respectively. The diagnosis of macrocystic SC was histologically-confirmed in
all cases. At the last follow-up (13-26 mo), all patients were symptom-free, and
radiological evaluation showed complete disappearance of the cyst. Laparoscopic
fenestration, as opposed to resection, should be considered for large symptomatic
macrocystic SC, thereby avoiding pancreatic resection morbidity and mortality.