Pancreatic-duct-preserving partial pancreatectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Wensheng ^1,2 , ZHUO Qifeng ^1,2 , JI Shunrong ^1,2 , XU Wenyan ^1,2 , SHI Yihua ^1,2 , LIU Mengqi ^1,2 , LI Zheng ^1,2 , YU Xianjun ^1,2 ,  XU Xiaowu ^1,2

1. Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, P. R. China;
2. Shanghai Pancreatic Cancer Institute, Shanghai 200032, P. R. China;

Corresponding?author：

XU Xiaowu, Email: xuxiaowu@fudanpci.org

Keywords：

Pancreatic benign and borderline/low grade malignant tumors; pancreatic surgery; pancreatic-duct-preserving partial pancreatectomy; organ/function preserving

DOI：

10.7507/1007-9424.202112086

Video：

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The detection rate of benign and borderline/low-grade malignant tumors of pancreas has increased year by year. Most of the patients are middle-aged and young people, who have thirst for high quality of life in long-term. Pancreatic-duct-preserving partial pancreatectomy can meet the needs of reducing surgical trauma, preserving normal pancreatic function and improving patients’ quality of life. However, pancreatic-duct-preserving partial pancreatectomy often needs to face the problem of pancreatic duct defect. Repair of pancreatic duct needs to be applied ? according to different types of pancreatic duct defect. At the same time, the prevention and treatment of pancreatic fistula also require more patience, courage and creativity of pancreatic surgeons. Pancreatic-duct-preserving partial pancreatectomy can solve the current clinical problems. It is safe and feasible with carefully evaluate indications, characters of patients and the personal ability of surgeons.

Citation： LIU Wensheng, ZHUO Qifeng, JI Shunrong, XU Wenyan, SHI Yihua, LIU Mengqi, LI Zheng, YU Xianjun, XU Xiaowu. Pancreatic-duct-preserving partial pancreatectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(3): 281-284. doi: 10.7507/1007-9424.202112086 Copy

1.	van Huijgevoort NCM, Del Chiaro M, Wolfgang CL, et al. Diagnosis and management of pancreatic cystic neoplasms: current evidence and guidelines. Nat Rev Gastroenterol Hepatol, 2019, 16(11): 676-689.
2.	Das S, Dasari A. Epidemiology, incidence, and prevalence of neuroendocrine neoplasms: are there global differences? Curr Oncol Rep, 2021, 23(4): 43. doi: 10.1007/s11912-021-01029-7.
3.	Law JK, Ahmed A, Singh VK, et al. A systematic review of solid-pseudopapillary neoplasms: are these rare lesions? Pancreas, 2014, 43(3): 331-337.
4.	Petzel MQB, Hoffman L. Nutrition implications for long-term survivors of pancreatic cancer surgery. Nutr Clin Pract, 2017, 32(5): 588-598.
5.	Hüttner FJ, Koessler-Ebs J, Hackert T, et al. Meta-analysis of surgical outcome after enucleation versus standard resection for pancreatic neoplasms. Br J Surg, 2015, 102(9): 1026-1036.
6.	Liu R, Wakabayashi G, Palanivelu C, et al. International consensus statement on robotic pancreatic surgery. HepatoBiliary Surg Nutr, 2019, 8(4): 345-360.
7.	趙國棟, 張新寧, 張修平, 等. 分支胰管型導管內乳頭狀黏液腺瘤外科手術新策略: 原位切除聯合分支胰管齊根結扎術. 中華腔鏡外科雜志(電子版), 2021, 14(2): 109-111.
8.	趙國棟, 張修平, 趙之明, 等. 機器人下胰腺導管內乳頭狀黏液腺瘤原位切除聯合主胰管架橋修復術. 中華腔鏡外科雜志(電子版), 2020, 13(5): 288-290.
9.	劉榮, 趙國棟, 尹注增, 等. 機器人胰腺腫瘤剜除聯合主胰管架橋修復術個案報道. 中華腔鏡外科雜志(電子版), 2016, 9(6): 373-374.
10.	劉榮, 劉渠, 柳儼哲, 等. 胰腺外科新方向—胰管修復外科. 解放軍醫學院學報, 2021, 42(6): 591-595.
11.	Fuks D, Piessen G, Huet E, et al. Life-threatening postoperative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors. Am J Surg, 2009, 197(6): 702-709.

1. van Huijgevoort NCM, Del Chiaro M, Wolfgang CL, et al. Diagnosis and management of pancreatic cystic neoplasms: current evidence and guidelines. Nat Rev Gastroenterol Hepatol, 2019, 16(11): 676-689.
2. Das S, Dasari A. Epidemiology, incidence, and prevalence of neuroendocrine neoplasms: are there global differences? Curr Oncol Rep, 2021, 23(4): 43. doi: 10.1007/s11912-021-01029-7.
3. Law JK, Ahmed A, Singh VK, et al. A systematic review of solid-pseudopapillary neoplasms: are these rare lesions? Pancreas, 2014, 43(3): 331-337.
4. Petzel MQB, Hoffman L. Nutrition implications for long-term survivors of pancreatic cancer surgery. Nutr Clin Pract, 2017, 32(5): 588-598.
5. Hüttner FJ, Koessler-Ebs J, Hackert T, et al. Meta-analysis of surgical outcome after enucleation versus standard resection for pancreatic neoplasms. Br J Surg, 2015, 102(9): 1026-1036.
6. Liu R, Wakabayashi G, Palanivelu C, et al. International consensus statement on robotic pancreatic surgery. HepatoBiliary Surg Nutr, 2019, 8(4): 345-360.
7. 趙國棟, 張新寧, 張修平, 等. 分支胰管型導管內乳頭狀黏液腺瘤外科手術新策略: 原位切除聯合分支胰管齊根結扎術. 中華腔鏡外科雜志(電子版), 2021, 14(2): 109-111.
8. 趙國棟, 張修平, 趙之明, 等. 機器人下胰腺導管內乳頭狀黏液腺瘤原位切除聯合主胰管架橋修復術. 中華腔鏡外科雜志(電子版), 2020, 13(5): 288-290.
9. 劉榮, 趙國棟, 尹注增, 等. 機器人胰腺腫瘤剜除聯合主胰管架橋修復術個案報道. 中華腔鏡外科雜志(電子版), 2016, 9(6): 373-374.
10. 劉榮, 劉渠, 柳儼哲, 等. 胰腺外科新方向—胰管修復外科. 解放軍醫學院學報, 2021, 42(6): 591-595.
11. Fuks D, Piessen G, Huet E, et al. Life-threatening postoperative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors. Am J Surg, 2009, 197(6): 702-709.

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Pancreatic-duct-preserving partial pancreatectomy

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