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背侧胰腺缺如与实性假乳头状肿瘤：保留腹侧胰腺的门静脉切除及使用腹膜移植物重建术

Agenesis of Dorsal Pancreas and Solid Pseudopapillary Tumor: Ventral Pancreas Preserving Portal Vein Resection and Reconstruction Using a Peritoneal Graft.

作者信息

Kumar Naveena An, DSouza Arika S, Usman Nawaz, Bishnoi Arvind K

机构信息

Surgical Oncology, Kasturba Medical College, Manipal, Udupi, IND.

Cardiothoracic Surgery, Kasturba Medical College, Manipal, Udupi, IND.

出版信息

Cureus. 2023 Jun 25;15(6):e40916. doi: 10.7759/cureus.40916. eCollection 2023 Jun.

DOI:10.7759/cureus.40916
PMID:37496552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10366649/
Abstract

A diabetic lady in her 40s was referred to surgical oncologists with epigastric pain associated with vomiting. Computed Tomography (CT) Abdomen with contrast demonstrated a mass arising from the head of the pancreas with the absence of dorsal pancreas, confirmed on magnetic resonance cholangio-pancreatography (MRCP). A core needle biopsy was done, and the tumor was revealed to be a solid pseudopapillary epithelial neoplasm. She underwent sub-total pancreatectomy preserving the duodenum and ventral pancreas as there was adequate free margin; however due to the tumor abutting the anterior wall of the portal vein, it was resected, and reconstruction was done using a peritoneal graft. The patient made a good recovery without any significant post-operative events.

摘要

一位40多岁的糖尿病女性因上腹部疼痛伴呕吐被转诊至外科肿瘤学家处。腹部增强计算机断层扫描（CT）显示胰头有一肿块，磁共振胰胆管造影（MRCP）证实胰腺体尾部缺如。进行了粗针穿刺活检，结果显示肿瘤为实性假乳头状上皮性肿瘤。由于切缘足够，她接受了保留十二指肠和胰腺腹侧的次全胰腺切除术；然而，由于肿瘤紧邻门静脉前壁，故将其切除，并使用腹膜移植物进行重建。患者恢复良好，术后无任何重大事件发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/c9343c725bc8/cureus-0015-00000040916-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/d6c8ea649bd3/cureus-0015-00000040916-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/c9d2d2405b11/cureus-0015-00000040916-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/281e1eabd148/cureus-0015-00000040916-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/c9343c725bc8/cureus-0015-00000040916-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/d6c8ea649bd3/cureus-0015-00000040916-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/c9d2d2405b11/cureus-0015-00000040916-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/281e1eabd148/cureus-0015-00000040916-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba29/10366649/c9343c725bc8/cureus-0015-00000040916-i04.jpg

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J Chin Med Assoc. 2022 Oct 1;85(10):981-986. doi: 10.1097/JCMA.0000000000000771. Epub 2022 Jul 8.
2
Two cases of agenesis of the dorsal pancreas and a review of the literature.两例背胰发育不全并文献复习。
BMC Gastroenterol. 2020 Apr 6;20(1):94. doi: 10.1186/s12876-020-01245-8.
3
Autologous peritoneal graft for venous vascular reconstruction after tumor resection in abdominal surgery: a systematic review.
自体腹膜移植物在腹部外科肿瘤切除后静脉血管重建中的应用：系统评价。
Updates Surg. 2020 Sep;72(3):605-615. doi: 10.1007/s13304-020-00730-9. Epub 2020 Mar 6.
4
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Eur J Surg Oncol. 2019 Feb;45(2):187-191. doi: 10.1016/j.ejso.2018.08.027. Epub 2018 Sep 8.
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