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10.3748/wjg.v21.i22.7047

http://scihub22266oqcxt.onion/10.3748/wjg.v21.i22.7047
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suck abstract from ncbi


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pmid26078583
      World+J+Gastroenterol 2015 ; 21 (22 ): 7047-51
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  • 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.
  • |*Laparoscopy/adverse effects [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |CA-19-9 Antigen/analysis [MESH]
  • |Cystadenoma, Serous/chemistry/complications/pathology/*surgery [MESH]
  • |Endosonography [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Middle Aged [MESH]
  • |Pancreatectomy/adverse effects/*methods [MESH]
  • |Pancreatic Fistula/etiology [MESH]
  • |Pancreatic Neoplasms/chemistry/complications/pathology/*surgery [MESH]
  • |Peptidyl-Dipeptidase A/analysis [MESH]
  • |Time Factors [MESH]
  • |Tomography, X-Ray Computed [MESH]


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