Pancreas-preserving segmental duodenectomy for gastrointestinal stromal tumor of the duodenum and splenectomy for splenic angiosarcoma

Muroni, Mirko; Ravaioli, Matteo; Gaudio, Massimo Del; Nigri, Giuseppe; D’Angelo, Francesco; Uccini, Stefania; Ramacciato, Giovanni

doi:10.1016/s1499-3872(12)60169-6

Cited by 7 publications

(2 citation statements)

References 18 publications

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“…Duodenectomy that preserves the pancreas has been reported in recent years. It offers many advantages such as reconstruction of a large duodenal defect caused by surgical resection [10].…”

Section: Discussion:-mentioning

confidence: 99%

Pancreas Sparing Duodenectomy

Massama¹,

C²,

Raiss³

et al. 2019

IJAR

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Gastrointestinal stromal tumors (GISTs) are uncommon tumors that arise mostly in the gastrointestinal tract. Duodenal GIST (DGIST) comprises 4.5% of all GISTs. Surgery is the mainstay of treatment for localized, resectable GISTs although imatinib mesylate, a tyrosine kinase inhibitor, is effective for GISTs. In this study, we describe a case in which segmental resection of the third portion of the duodenum, have been performed for the treatment of a DGIST. Recent anatomical knowledge of the head of the pancreas has facilitated duodeno-pancreas surgery and duodenal resection preserving the pancreatic head can now be performed safely for larger tumors which are located below the papilla of Vater in the third or fourth duodenal portions with end-to-end or side-to end duodeno-jejunal anastomosis. Local resection can be beneficial for patients because it contributes to a better quality of life and does not involve the excessive resection associated with duodenopancreatectomy.

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“…Duodenectomy that preserves the pancreas has been reported in recent years. It offers many advantages such as reconstruction of a large duodenal defect caused by surgical resection [10].…”

Section: Discussion:-mentioning

confidence: 99%

Pancreas Sparing Duodenectomy

Massama¹,

C²,

Raiss³

et al. 2019

IJAR

View full text Add to dashboard Cite

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“…In addition, the gastrointestinal tract can be maintained in continuity to facilitate endoscopic surveillance (24,43). Recent studies comparing PD with PPD in patients with premalignant/low-grade malignant (43) adenomas, GIST Muroni et al (39) 2012 CR GIST 1 0 (0) 0 (0) 6 Ravoire et al (46) 2012 CR GIST 1 0 (0) 1(100) 8 Masrur et al (37) 2012 CR Angiodysplasia 1 0 (0) 0 (0) lesions of the duodenum demonstrated that PPD was noninferior compared to PD in terms of morbidity, with superiority in terms of POPF, Intensive Care Unit stay, reoperation, mortality rates, blood loss, operative time and cost (45,71).…”

Section: Discussionmentioning

confidence: 99%

Non-Whipple Operations in the Management of Benign, Premalignant and Early Cancerous Duodenal Lesions

Papalampros

Moris

Petrou

et al. 2017

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Surgical approach for tumours of the third and fourth part of the duodenum. Distal pancreas-sparing duodenectomy

García‐Molina

Mateo-Vallejo

Franco-Osorio

et al. 2015

International Journal of Surgery

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The anatomic complexity of the duodenum makes surgical resection challenging. We describe our experience with distal pancreas-sparing duodenectomy (PSD) for tumours that arise in the third and fourth parts of the duodenum. Between July 2008 and January 2012 eight patients underwent surgical resection for tumours in the distal parts of the duodenum. Short and long-term outcomes of treatment are retrospectively analyzed. We used the Cattell and Braash surgical approach in six patients. Seven patients underwent a segmental resection of the distal duodenum with a duodenojejunal anastomosis and in one case we performed a wedge local excision with primary closure. There were 5 gastrointestinal stromal tumours (GIST), 1 primary duodenal adenocarcinoma, 1 metastasis of a lung adenocarcinoma and 1 patient with malignant duodenocolic fistula caused by advanced sigmoid colon carcinoma. Median operating time was 200 min and median intraoperatory blood loss 162 mL. Three patients showed postoperative complications and one of them died. There was no reoperation. Median hospital stay was 10 days (range, 7-28 days). The patient with primary adenocarcinoma died after 12 months due to hepatic metastases. All of five patients with GIST are alive without recurrence (mean follow up of 65.6 months), as well as the patient with metastatic duodenal infiltration (45 months after surgery). Segmental resection of the third and fourth portions of the duodenum is reliable and feasible. The Cattell and Braash manoeuvre provides a good exposure and makes this kind of resection easier.

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Pancreas-preserving segmental duodenectomy for gastrointestinal stromal tumor of the duodenum and splenectomy for splenic angiosarcoma

Cited by 7 publications

References 18 publications

Pancreas Sparing Duodenectomy

Pancreas Sparing Duodenectomy

Non-Whipple Operations in the Management of Benign, Premalignant and Early Cancerous Duodenal Lesions

Surgical approach for tumours of the third and fourth part of the duodenum. Distal pancreas-sparing duodenectomy

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