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Total mesopancreas excision for pancreatic head cancer: analysis of 120 cases

OBJECTIVE: To evaluate the feasibility and safety of total mesopancreas excision (TMpE) in the treatment of pancreatic head cancer. METHODS: The clinical and pathological data of 120 patients with pancreatic head cancer who had undergone TMpE in our center from May 2010 to January 2014 were retrospe...

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Detalles Bibliográficos
Autores principales: Wu, Wenguang, Wang, Xu'an, Wu, Xiangsong, Li, Maolan, Weng, Hao, Cao, Yang, Bao, Ruifa, Su, Sijun, Lu, Jianhua, Gong, Wei, Shi, Weibin, Gu, Jun, Wang, Xuefeng, Liu, Yingbin, Quan, Zhiwei, Peng, Shuyou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018537/
https://www.ncbi.nlm.nih.gov/pubmed/27647970
http://dx.doi.org/10.21147/j.issn.1000-9604.2016.04.05
Descripción
Sumario:OBJECTIVE: To evaluate the feasibility and safety of total mesopancreas excision (TMpE) in the treatment of pancreatic head cancer. METHODS: The clinical and pathological data of 120 patients with pancreatic head cancer who had undergone TMpE in our center from May 2010 to January 2014 were retrospectively analyzed. RESULTS: The mean operative time was (275.0±50.2) min and the average intra-operative blood loss was (390.0±160.5) mL. Post-operative complications were reported in 45 patients, while no peri-operative death was noted. The specimen margins were measured in three dimensions, and 86 patients (71.6%) achieved R0 resection. CONCLUSIONS: TMpE is safe and feasible for pancreatic head cancer and is particularly helpful to increase the R0 resection rate.