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Current status of robotic surgery for pancreatic tumors

Lee SR, Kwon J, Shin JH

Robotic pancreatectomy, which has received attention in recent years, is subdivided into robotic distal pancreatectomy and robotic pancreatoduodenectomy. Benign and borderline malignant pancreatic tumors can be treated with robotic pancreatectomy,...
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External validation of risk prediction platforms for pancreatic fistula after pancreatoduodenectomy using nomograms and artificial intelligence

Yoon SJ, Kwon W, Lee OJ, Jung JH, Shin YC, Lim CS, Kim H, Jang JY, Shin SH, Heo JS, Han IW

Purpose: Postoperative pancreatic fistula (POPF) is a life-threatening complication following pancreatoduodenectomy (PD). We previously developed nomogram- and artificial intelligence (AI)-based risk prediction platforms for POPF after PD. This study aims to...
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Risk factors deteriorating severe exocrine pancreatic insufficiency measured by stool elastase after pancreatoduodenectomy and the risk factors for weight loss

Cho A, Kim H, Sohn HJ, Lee M, Kang YH, Kim HS, Han Y, Kang JS, Kwon W, Jang JY

Purpose: The measurement of stool elastase (SE) level is useful for evaluating pancreatic exocrine function. This study aimed to determine the risk factors for severe exocrine pancreatic insufficiency (EPI) after...
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Laparoscopic pancreaticoduodenectomy in pancreatic ductal adenocarcinoma

Choi M, Rho SY, Kim SH, Hwang HK, Lee WJ, Kang CM

Laparoscopic pancreatoduodenectomy (LPD) in pancreatic cancer is primarily criticized for its technical and oncological safety. Although solid evidence has not yet been established, many institutions are performing LPD for pancreatic...
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Adult pancreatoblastoma: A rare malignant tumor of the pancreas

Morales GES, Payan HL, Valladares RAM, Rosado ID, Chan C

Pancreatoblastoma (PB) is a rare malignant tumor in adults. It has an overall incidence of 0.004 per 100,000 inhabitants. Its diagnosis with fine-needle aspiration (FNA) is difficult due to multiple...
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Transient mesoportal shunt: An innovative technique for maintaining portal flow during pancreatoduodenectomy with portal vein resection

S. GM, Gnanasekaran S, Raja K, Pottakkat B

Pancreatic cancers exhibit a surgical challenge, in light of frequent vascular involvement. In absence of metastatic spread, vascular invasion is the predominant limiting factor for determining the resectability. With progression...
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Impact of lymph node staging systems in predicting outcome in patients with ampullary cancer

Saluja SS, Mishra PK, Kiran S, Shah HJ, Chandrasekar S, Nayeem M, Sharma A, Varshney VK

Backgrounds/Aims: Lymph node (LN) metastasis though, is a poor prognostic factor for ampullary carcinoma (APC), the impact of Lymph node ratio (LNR) and Logarithm odds of positive lymph node (LODDS)...
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Retroduodenal resection of the extrahepatic common bile duct with in situ re-implantation of the main pancreatic duct:A report of two cases

Hwang S, Jung DH, Ha TY

Resection of the whole distal common bile duct (CBD) with in situ re-implantation of the main pancreatic duct can be a surgical option to avoid pancreaticoduodenectomy. in this study, we...
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Comparison of clinical outcomes according to the history of previous gastrectomy in patients undergoing pancreatoduodenectomy: a propensity score matching analysis

Kim JR, Kwon W, Chang J, Jang JY, Kim SW

Purpose: Although pancreatoduodenectomy (PD) in patients who have previously undergone gastrectomy is challenging, little is known about the clinical outcomes and the differences compared to those with conventional PD. We...
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Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

Kim E, Lee DH, Jang JY

BACKGROUND/AIMS: We investigated the effect of preoperative malnutrition on postoperative surgical outcomes in elderly patients undergoing pancreatoduodenectomy for periampullary neoplasms. METHODS: This prospective cohort study enrolled 154 patients aged ≥65 years...
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Rapid progression of sarcomatoid carcinoma of the common bile duct

Kim MJ, Lee JS, Kim YM, An S, Yoon YC

Since sarcomatoid carcinoma in the common bile duct (CBD) is rarely reported, the clinical course and prognosis after surgery are unclear. We report a case of a patient who died...
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Effect of early and delay starting of enteral feeding in post-pancreaticoduodenectomy patients

Das BC, Haque M, Uddin MS, Nur-E-Elahi M, Khan ZR

BACKGROUNDS/AIMS: This study was undertaken to see the effect of early starting of enteral feeding after pancreatoduodenectomy (PD). The results were compared with existing nutritional practice in which enteral feeding...
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Predictive value of post-operative drain amylase levels for post-operative pancreatic fistula

Serene TE, G SV, Padmakumar JS, Terence HC, Keem LJ, Bei W, Winston WW

BACKGROUNDS/AIMS: Traditionally, surgically placed pancreatic drains are removed, at the discretion of the operating surgeon. Moving towards enhanced recovery after surgery (ERAS), we looked for predictors for early drain removal....
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Endoscopic Retrograde Cholangiopancreatography in Bilioenteric Anastomosis

Park ET

For diagnosis and treatment of pancreatobiliary diseases, endoscopic retrograde cholangiopancreatography (ERCP) is useful method nowadays and its technically success rate is usually in about 90%-95% of patients with normal gastric...
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Celiac axis stenosis as a rare but critical condition treated with pancreatoduodenectomy: report of 2 cases

Park HM, Lee SD, Lee EC, Lee IJ, Han SS, Kim HB, Kim SH, Lee SA, Park SJ

We describe 2 cases of patients with loss of hepatic arterial flow during surgery for pancreatic head cancer due to celiac stenosis caused by median arcuate ligament compression. The first...
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Pancreaticoduodenectomy performed in a patient with situs ambiguous accompanied with isolated levocardia, malrotation, and normal spleen

Lim HK, Choi YS, Lee SE, Kang H

We report a case of common bile duct (CBD) cancer, successfully managed with pancreaticoduodenectomy, in a patient with isolated levocardia, malrotation, and situs ambiguous (without splenic anomalies). A 59-year-old male...
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Comparison of Clinical Outcome and Cost-Effectiveness after Various Preoperative Biliary Drainage Methods in Periampullary Cancer with Obstructive Jaundice

Hong SK, Jang JY, Kang MJ, Han IW, Kim SW

The aim of this study was to compare the clinical outcome and cost-effectiveness of preoperative biliary drainage (BD) methods in periampullary cancer, and to suggest guidelines for selecting the appropriate...
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Comparison of Survival Outcomes following Segmental Bile Duct Resection versus Pancreatoduodenectomy for Mid Bile Duct Cancer

Seo SI, Hwang S, Lee YJ, Kim KH, Ahn CS, Moon DB, Ha TY, Song GW, Jung DH, Park KM, Hwang DW, Lee SG

  • KMID: 1449805
  • Korean J Hepatobiliary Pancreat Surg.
  • 2011 Feb;15(1):42-49.
PURPOSE: This study was designed to analyze the prognosis following segmental bile duct resection (BDR) versus pancreatoduodenectomy (PD) for mid bile duct (mBD) cancer. METHODS: During the 4 years between 2003...
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Evaluating Total Parenteral Nutrition after Pylorus-preserving Pancreatoduodenectomy (PPPD)

Park YH, Kim SE, Kim JY, Song YC, Hong SK

  • KMID: 1731676
  • J Korean Soc Parenter Enter Nutr.
  • 2009 Dec;2(1):1-5.
PURPOSE: Pylorus-preserving pancreatoduodenectomy (PPPD) is considered the treatment of choice for various periampullary diseases. Although patients who undergo PPPD require postoperative parental nutrition, no guideline has currently been established for...
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Combined Inferior Vena Cava Resection during Pancreatoduodenectomy

Nah YW, Park SJ, Yi JH, Bang SJ

  • KMID: 1469769
  • Korean J Hepatobiliary Pancreat Surg.
  • 2009 Dec;13(4):301-306.
There is no consensus for the surgical indications, as well as the surgical technique, for the treatment of inferior vena cava (IVC) invasion by pancreas head cancer. The authors experienced...
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