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Surgical treatment for uncinate process carcinoma of the pancreas

Hepatobiliary & Pancreatic Diseases International 2002年第4期1卷 592-594页

作者： Sen Li Yong-Quan Pei Fu-Tian Du Guan-Yi Zhuang Chun-You Li Qin-Hua Song Wei Ding Jian-Li Wang the Department of Hepatobiliary Surgery, Weifang People’s Hospital, Weifang 261041, China Department of Hepatobiliary Surgery Weifang People's Hospital Weifang 261041 China

Objectives: To analyze the clinical features of unci- nate process carcinoma of the pancreas and to im- prove the resection rate. Methods: From January 1990 to June 1999, 10 pa- tients with pancreas uncinate process carcinoma re- ceived Whipple's operation. Portal vein (PV) resec- tion and reanastomosis were performed in 5 patients, and the resected length varied from 2.0 to 4.2 cm. Two patients underwent PV lateral wall partial resec- tion. Results: Among the 7 patients undergoing PV resec- tion, 1 died of hepatic failure 3 days after operation. One patient suffered from postoperative chylous asci- tes. These 6 patients survived 13 to 29 months post- operatively. Among the 3 patients without PV resec- tion, 2 survived 13 months and 14 months respective- ly. One patient was alive by the end of follow-up for 11. 5 months postoperatively. Conclusion: Although uncinate process carcinoma of the pancreas has a tendency to invade the adjacent PV and superior mesentery vein, it should not be simply regarded as a contraindication of radical resection.

关键词： pancreas neoplasms uncinate process pancreaticoduodenectomy

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Surgical palliation of unresectable pancreatic head cancer in elderly patients

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World Journal of Gastroenterology 2009年第8期15卷 978-982页

作者： Sang Il Hwang Hyung Ook Kim Byung Ho Son Chang Hak Yoo Hungdai Kim Jun Ho Shin Department of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul 110-746 South Korea

AIM: To determine if surgical biliary bypass would provide improved quality of residual life and safe palliation in elderly patients with unresectable pancreatic head cancer. METHODS: Nineteen patients, 65 years of age or older, were managed with surgical biliary bypass (Group A). These patients were compared with 19 patients under 65 years of age who were managed with surgical biliary bypass (Group B). In addition, the results for group A were compared with those obtained from 17 patients, 65 years of age or older (Group C), who received percutaneous transhepatic biliary drainage to evaluate the quality of residual life. RESULTS: Five patients (26.0%) in Group A had complications, including one intraabdominal abscess, one pulmonary atelectasis, and three wound infections. One death (5.3%) occurred on postoperative day 3. With respect to morbidity, mortality, and postoperative hospitalization, no statistically significant difference was noted between Groups A and B. The number of readmissions and the rate of recurrent jaundice were lower in Group A than in Group C, to a statistically significant degree (P = 0.019, P = 0.029, respectively). The median hospital-free survival period and themedian overall survival were also signifi cantly longer in Group A (P = 0.001 and P < 0.001, respectively). CONCLUSION: Surgical palliation does not increase the morbidity or mortality rates, but it does increase the survival rate and improve the quality of life in elderly patients with unresectable pancreatic head cancer.

关键词： Adenocarcinoma Elderly Palliative surgery pancreas neoplasms

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Use of oral contraceptives and risk of pancreatic cancer in women:A recalculated meta-analysis of prospective cohort studies

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World Journal of Gastroenterology 2021年第48期27卷 8374-8377页

作者： Jong-Myon Bae Preventive Medicine Jeju National University College of MedicineJeju-si 63243Jeju ProvinceSouth Korea

In a recent systematic review and meta-analysis of observational studies,the author found potential errors in the selection and extraction *** recalculated summary relative risks and the results of a dose-response met... 详细信息

关键词： pancreas neoplasms Oral contraceptives Risk factor Meta-analysis Risk assessment Systematic review

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Artificial intelligence in pancreatic surgery:current applications

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Journal of Pancreatology 2023年第2期6卷 74-81页

作者： Christoph Kuemmerli Fabian Rössler Caroline Berchtold Michael C.Frey Alexander Studier-Fischer Amila Cizmic Jan Philipp Jonas Thilo Hackert Felix Nickel Philip C.Müller Department of Surgery Clarunis-University Centre for Gastrointestinal and Liver DiseasesBaselSwitzerland Swiss HPB and Transplantation Center Department of Surgery and TransplantationUniversity Hospital ZurichZurichSwitzerland Department for General Visceral and Vascular SurgeryKantonsspital BadenBadenSwitzerland Department of General Visceral and Transplantation SurgeryHeidelberg University HospitalHeidelbergGermany Department of General Visceral and Thoracic SurgeryUniversity Medical Center Hamburg-EppendorfHamburgGermany

Surgery plays a central role in the treatment of benign and malignant pancreatic *** intelligence(AI)is an important upcoming technology to support surgeons in pre-,intra-,and postoperative diagnosis,decision-making and training toward an optimized patient *** AI applications show a promising role in the evaluation of preoperative images for prediction of malignancy and resectability,intraoperative decision support,surgical training as well as a postoperative risk stratification to per-sonalize the management of *** scoping review summarizes the most up to date developments of AI in pancreatic surgery with the highest available level of evidence.

关键词： Artificial intelligence Image-guidance Machine learning pancreas neoplasms Pancreatic ductal carcinoma Personalized medicine Surgery

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