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Xanthogranulomatous pancreatitis treated by duodenum-preserving pancreatic head resection

Hepatobiliary & pancreatic Diseases International 2010年第2期9卷 216-218页

作者： Alper Uguz Sava■ Yakan Baris Gurcu Funda Yilmaz Tankut Ilter Ahmet Coker Department of Surgery Hepatopancreatobiliary DivisionEge University Faculty of Medicine Department of Pathology Ege University Faculty of Medicine Department of Gastroenterology Ege University Faculty of Medicine

BACKGROUND:Xanthogranulomatosis is an idiopathic,rare process in which lipid-laden histiocytes are deposited at various locations in the *** present two cases who were treated by duodenum-preserving pancreatic head resection and eventually diagnosed as having xanthogranulomatous pancreatitis. METHODS:A 30-year-old caucasian man was admitted to our clinic for vague abdominal pain and epigastric dullness. Magnetic resonance cholangiopancreatography and endoscopic retrograde pancreatography suggested the existence of chronic *** 34-year-old caucasian woman was admitted to our clinic because of right upper quadrant pain. Magnetic resonance cholangiopancreatography demonstrated a dilatation and stone of the main pancreatic *** on a diagnosis of chronic pancreatitis,pancreatic head resection was planned and a laparotomy was performed in both of cases. RESULTS:In both cases,duodenum-preserving pancreatic head resection was *** and microscopic findings revealed xanthogranulomatous inflammation,which led to a diagnosis of xanthogranulomatous pancreatitis. CONCLUSION:Although this type of pancreatitis is extremely rare,it is important to keep it in mind for a differential diagnosis because it may simulate chronic pancreatitis or a malignant tumor on imaging.

关键词： xanthogranulomatous pancreatitis pancreatic head resection

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Laparoscopic duodenum-preserving pancreatic head resection:a narrative review

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Journal of Pancreatology 2021年第4期4卷 146-152页

作者： Nuerabula Wujimaimaiti Yi Wu Jingxiong Yuan Jikuan Jin Hebin Wang Shizhen Li Hang Zhang Min Wang Renyi Qin Department of Biliary-pancreatic Surgery Affiliated Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei ProvinceChina

pancreatic surgery is one of the most complex and challenging fields in abdominal surgery associated with extensive surgical trauma,damage to adjacent organs,a long operation time and a high incidence of postoperative *** the early 1990s,laparoscopic techniques have been applied to a growing number of pancreas surgeries,and great progress has been achieved in laparoscopic *** surgeons become proficient in laparoscopic pancreaticoduodenectomy techniques,laparoscopic techniques are gradually used in other pancreatic surgeries,such as laparoscopic distal pancreatectomies and laparoscopic duodenum-preserving pancreatic head resection(LDPPHR),which may benefit patients by reducing postoperative pain and hospital stays and providing a quick recovery to normal ***,a great number of literature have introduced *** is a good surgical method for benign and low-grade malignant tumors of the pancreatic *** LDPPHR is technically feasible,it is not yet generally practicable and limited to highly skilled endoscopic surgeons,and the long-term results after LDPPHR are still not well *** article aims to provide a literature review of LDPPHR to assess its feasibility,safety,postoperative recovery,and future outlook according to early experiences of this technique.

关键词： Benign pancreatic tumors Duodenum-preserving Laparoscopic pancreatectomy Minimally invasive surgery pancreatic head resection

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