Efficacy of Perioperative Endoscopic Naso-Pancreatic Drainage in Laparoscopic Enucleation of Pancreatic Nonfunctioning Neuroendocrine Tumor

Abdominal ultrasonography revealed a low echoic tumor with a well-defined boundary and a smooth margin that was less than 10 mm in size in the pancreatic body, and absence of posterior echogenic enhancement (Fig. 1 A). [...]MRI revealed a tumor of 10 mm, which was located in the pancreatic body, wit...

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Bibliographic Details
Published in:The American surgeon 2019-02, Vol.85 (2), p.89-95
Main Authors: Hikita, Kosuke, Chiba, Naokazu, Takano, Kiminori, Ozawa, Yosuke, Sano, Toru, Tomita, Koichi, Kawachi, Shigeyuki
Format: Article
Language:English
Subjects:
Abdomen
Body size
Coagulation
Cysts
Endoscopy
Enucleation
Fistula
Fistulae
Laparoscopy
Magnetic resonance imaging
Neuroendocrine tumors
Pancreas
Parenchyma
Surgery
Tumors
Ultrasonic imaging
Ultrasound
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Summary:Abdominal ultrasonography revealed a low echoic tumor with a well-defined boundary and a smooth margin that was less than 10 mm in size in the pancreatic body, and absence of posterior echogenic enhancement (Fig. 1 A). [...]MRI revealed a tumor of 10 mm, which was located in the pancreatic body, with high intensity in the T1-weighted image and low intensity in the T2-weighted image (Fig. 1 E and F). [...]the distance between the main pancreatic duct and tumor was less than 3 mm as determined through magnetic resonance cholangiopancreatography. [...]after removing ENPD, the main pancreatic duct failed, causing Postoperative pancreatic fistula (POPF) delay. Because laparoscopic coagulating shears were used for pancreatectomy, the pancreatic parenchyma and the main pancreatic duct wall were delayed because of heat coagulation, or the main pancreatic duct wall was fixed to the ENPD tube by heat coagulation and collapsed with the substance on removal.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481908500208