scholarly journals Duodenum-Preserving Resection of the Head of the Pancreas: The Significance as a Diagnostic Therapy for the Lesion in the Pancreatic Head

HPB Surgery ◽  
1996 ◽  
Vol 9 (2) ◽  
pp. 107-111
Author(s):  
Y. Watanabe ◽  
M. Sato ◽  
T. Lee ◽  
Y. Abe ◽  
Y. Nakata ◽  
...  

A 75-year-old man who was diagnosed as having mucin-producing pancreatic cystic lesion ofthe main pancreatic duct by duodenoscopic examination was reported. Because of the low malignant potential of such lesions, duodenum-preserving resection of the head of the pancreas was performed, and the intra-operative histological examination showed no malig-nancy of the resected pancreatic head and no other surgical procedures, such as lymph-adenectomy nor pancreato-duodenectomy were necessary. The significance of this case report lies in that a less invasive operation should be selected at first to diagnose whether the lesion is malignant or not, and als0 that the selected operation itself must be sufficient to resect an adequate part of the pancreatic tissue involving the cystic lesion, ifnot malignant. Here, we report the process to select the procedure and the surgical technique.

2014 ◽  
Vol 30 (1) ◽  
pp. 73 ◽  
Author(s):  
Aylin Orgen Calli ◽  
Mine Tunakan ◽  
Huseyin Katilmis ◽  
Sevil Kilciksiz ◽  
Sedat Ozturkcan

BMC Urology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Palma Maurizi ◽  
Michele Antonio Capozza ◽  
Silvia Triarico ◽  
Maria Luisa Perrotta ◽  
Vito Briganti ◽  
...  

2015 ◽  
Vol 9 (3) ◽  
pp. 366-374 ◽  
Author(s):  
Macarena Gompertz ◽  
Claudia Morales ◽  
Hernán Aldana ◽  
Jaime Castillo ◽  
Zoltán Berger

Autoimmune pancreatitis (AIP) can be chronic or recurrent, but frequently completely reversible after steroid treatment. A cystic lesion in AIP is a rare finding, and it can mimic a pancreatic cystic neoplasm. Difficulties in an exact diagnosis interfere with treatment, and surgery cannot be avoided in some cases. We report the history of a 63-year-old male presenting with jaundice and pruritus. AIP was confirmed by imaging and elevated IgG4 blood levels, and the patient completely recovered after corticosteroid therapy. One year later, he presented with a recurrent episode of AIP with elevated IgG4 levels, accompanied by the appearance of multiple intrapancreatic cystic lesions. All but 1 of these cysts disappeared after steroid treatment, but the remaining cyst in the pancreatic head was even somewhat larger 1 year later. Pancreatoduodenectomy was finally performed. Histology showed the wall of the cystic lesion to be fibrotic; the surrounding pancreatic tissue presented fibrosis, atrophy and lymphoplasmacytic infiltration by IgG4-positive cells, without malignant elements. Our case illustrates the rare possibility that cystic lesions can be part of AIP. These pseudocysts appear in the pancreatic segments involved in the autoimmune disease and can be a consequence of the local inflammation or related to ductal strictures. Steroid treatment should be initiated, after which these cysts can completely disappear with recovery from AIP. Surgical intervention may be necessary in some exceptional cases.


1988 ◽  
Vol 139 (2) ◽  
pp. 378-379 ◽  
Author(s):  
C. Gilberto Brito ◽  
Ted Bloch ◽  
Richard S. Foster ◽  
Richard Bihrle

2020 ◽  
Vol 13 (11) ◽  
pp. e236954
Author(s):  
Amit Parashar ◽  
Indranil Deb Roy ◽  
Arpit Gupta

Advances in periodontal plastic surgical procedures have led to achieve predictable root coverage outcomes for the recession defects. However, little has been reported and emphasised over management of palatal recession defects. The root coverage surgical procedures used for coverage of palatal recession defect are technically challenging in terms of accessibility and graft coverage. The purpose of this report is to describe a surgical technique used to manage deep-wide palatal recession defect. The technique uses partly deepithelialised palatal graft that is designed to approximately fit the defect site. This is employed for prolonged protection of the underlying healing process. This case report is unique in terms of treatment of deep (9.0 mm), wide (6.0 mm) palatal recession defect and its long-term follow-up for 18 months.


Sign in / Sign up

Export Citation Format

Share Document