1.Safety and Feasibility of Single Incision Laparoscopic Spleen Preserving Distal Pancreatectomy.
Journal of Minimally Invasive Surgery 2016;19(3):81-83
No abstract available.
Pancreatectomy*
;
Spleen*
2.Anesthetic management of a 6 month-old infant for near total pancreatectomy with persistent hyperinsulinemic hypoglycemia.
Seohui AHN ; Jeong Rim LEE ; Seok Joo HAN ; Hyunzu KIM
Korean Journal of Anesthesiology 2012;62(4):393-394
No abstract available.
Humans
;
Hypoglycemia
;
Infant
;
Pancreatectomy
3.Acute Pancreatitis Associated with Intraductal Tubulopapillary Neoplasm of the Pancreas.
Eun Young KIM ; Jae Uk SHIN ; Yeon Ho JOO ; Jue Yong LEE ; Ji Hun KIM ; Yun Jung PARK ; Myeng Nam BAE ; Sang Mook BAE
The Ewha Medical Journal 2013;36(Suppl):S9-S13
Intraductal tubulopapillary neoplasm (ITPN) of the pancreas has been recently reported. It is very rare, therefore clinical behavior and prognosis has not yet been characterized. We experienced a case of ITPN of the pancreas which presented with acute pancreatitis and treated with Whipple's operation. Histopathologic finding showed papillary hyperplasia with carcinomatous change. The tumor recurred after 47 month of operation, and she underwent total pancreatectomy. Pathologic finding revealed tubulopapillary growth with high grade dysplasia. Immunohistochemial staining was not performed, however gross and microscopic findings were compatible with ITPN of the pancreas. We report a case of ITPN of the pancreas.
Hyperplasia
;
Pancreas*
;
Pancreatectomy
;
Pancreatitis*
;
Prognosis
4.Acute Pancreatitis Associated with Intraductal Tubulopapillary Neoplasm of the Pancreas.
Eun Young KIM ; Jae Uk SHIN ; Yeon Ho JOO ; Jue Yong LEE ; Ji Hun KIM ; Yun Jung PARK ; Myeng Nam BAE ; Sang Mook BAE
The Ewha Medical Journal 2013;36(Suppl):S9-S13
Intraductal tubulopapillary neoplasm (ITPN) of the pancreas has been recently reported. It is very rare, therefore clinical behavior and prognosis has not yet been characterized. We experienced a case of ITPN of the pancreas which presented with acute pancreatitis and treated with Whipple's operation. Histopathologic finding showed papillary hyperplasia with carcinomatous change. The tumor recurred after 47 month of operation, and she underwent total pancreatectomy. Pathologic finding revealed tubulopapillary growth with high grade dysplasia. Immunohistochemial staining was not performed, however gross and microscopic findings were compatible with ITPN of the pancreas. We report a case of ITPN of the pancreas.
Hyperplasia
;
Pancreas*
;
Pancreatectomy
;
Pancreatitis*
;
Prognosis
5.Comparative Analysis of Limited Resection and Conventional Resection for Pancreatic Benign Lesions Focused on Perioperative Diabetes and Pancreatic Fistula.
Min Young CHOI ; Dong Do YOU ; Hyung Geun LEE ; Jin Seok HEO ; Seong Ho CHOI ; Dong Wook CHOI
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2009;13(3):179-183
PURPOSE: Pancreaticoduodenectomy (PD) or distal pancreatectomy (DP) are treatments used for pancreatic benign neoplasms even though both of these treatments result in significant loss of normal pancreatic parenchyma; this leads to subsequent impairment of exocrine and endocrine pancreatic function. The purpose of this study is to provide short-and long-term result of limited resection (LR) in a single center. METHODS: Two-hundred thirty patients who had undergone pancreatic resection between April 1998 and September 2008 for benign neoplasms were reviewed retrospectively. DP was performed in 102 patients, LR in 77, PD in 51 patients. The definitions of the International Study Group of Pancreatic Fistula (ISGPF) were applied to postoperative pancreatic fistulas (POPF), perioperative endocrine function was evaluated through oral glucose tolerance test. RESULTS: LR includes 42 enucleation, 24 central pancreatectomy, and 11 uncinate process resection. No deaths occurred to patients during the study review period; POPF was detected in 50 patients (65%), 37 patients with grade A and 13 patients with grade B or C. POPF occurred 65% of the time after LR, more frequently compared to the occurrance after PD or DP (58%), but this was not statistically significant (P =.322). After LR, there were 2 patients with new onset diabetes (3%), while 26 (17%) patients developed diabetes after DP or PD (P = .002). CONCLUSION: LR may preserve endocrine and exocrine function. While mortality is low with the use of LR, it is associated with a higher pancreatic-leakage rate. The precise management of benign pancreatic lesions remains in evolution.
Glucose Tolerance Test
;
Humans
;
Pancreatectomy
;
Pancreatic Fistula
;
Pancreaticoduodenectomy
;
Retrospective Studies
6.Laparoscopic Versus Open Central Pancreatectomy: Single-institution Comparative Study.
Min Chang KANG ; Song Cheol KIM ; Ki Byung SONG ; Kwang Min PARK ; Jae Hoon LEE ; Ji Wong HWANG ; Young Hwan KIM ; Jeong Su NAM ; Jong Hee YOON ; Young Joo LEE
Journal of Minimally Invasive Surgery 2012;15(4):83-92
PURPOSE: Despite recent advances in laparoscopic pancreatic surgery, few studies have compared laparoscopic central pancreatectomy (LCP) with open central pancreatectomy (OCP). The aim of this study was to compare clinical outcomes between LCP and OCP as a single institutional study. METHODS: During the study period (From January, 1998 to December, 2010), we performed central pancreatectomy in 95 cases. Among them, 26 cases of totally LCP and 55 cases of OCP were compared retrospectively. RESULTS: Benign pancreatic neoplasm was the main indication. The mean operation time for the LCP group (350.2 min) was longer than that for the OCP group (283.4 min). And there was no significant difference in mean actual blood loss (477 ml versus 714 ml, p=0.083) between the LCP and OCP groups. Return to a normal bowel movement and resumption of a liquid diet were achieved 5.5+/-2.6 days after the operation in the LCP group and 6.6+/-2.0 days after the operation in the OCP group (p=0.039). The mean duration of postoperative hospital stay was 13.8 days for the LCP group, which was significantly shorter than the 22.5 days for the OCP group (p=0.015). The overall complication rate was 42.3% (11 cases) in the LCP group and 45.5% (25 cases) in the OCP group (p=0.790). CONCLUSION: Use of LCP for benign or low grade malignant lesions of the pancreatic neck portion is feasible and safe. Compared to the open method, the laparoscopic approach to central pancreatectomy appears to provide advantages of early resumption of a normal diet and reduction of postoperative hospital stay without further complications.
Diet
;
Laparoscopy
;
Length of Stay
;
Neck
;
Pancreatectomy
;
Pancreatic Fistula
;
Pancreatic Neoplasms
7.A Case of Recurrent Acute Pancreatitis due to Pancreatic Arteriovenous Malformation.
Jong Kyoung CHOI ; Sang Hyub LEE ; Min Sun KWAK ; Jai Hwan KIM ; Eun Sun JANG ; Sung Wook HWANG ; Jin Hyeok HWANG ; Li Jin JOO ; Yoo Seok YOON ; Hae Ryoung KIM
Gut and Liver 2010;4(1):135-139
Pancreatic arteriovenous malformation (AVM) is an extremely rare condition with various clinical manifestations. We report herein a case of recurrent acute pancreatitis due to pancreatic AVM in a 49-year-old man. This patient presented with epigastric pain that had developed after consuming alcohol 2 days prior to admission. Serum amylase and lipase levels were elevated and computed tomography revealed focal low-attenuation lesions with peripancreatic infiltrations in the pancreatic tail and multiple collateral vessels around the low-attenuation lesions. He was diagnosed with acute pancreatitis and pancreatic AVM. Although he had stopped drinking after the first attack of acute pancreatitis, his pancreatitis recurred twice within 3 months. He underwent a distal pancreatectomy after the third attack of acute pancreatitis. He was free of symptoms for 2 years after the pancreatectomy.
Amylases
;
Arteriovenous Malformations
;
Drinking
;
Humans
;
Lipase
;
Middle Aged
;
Pancreatectomy
;
Pancreatitis
8.A Case of Islets Cell Hyperplasia Diagnosed by Selective Arterial Calcium Stimulation Test.
Jin Hoon YOUN ; Kyu Jeung AHN ; Yeong Shil JOO ; Byoung Joon KIM ; Sung Hoon KIM ; Kye Hyoung KWON ; Myung Ah JUNG ; Jin Soo YANG ; In Su JUNG ; Chung Hyeon KIM ; Sung Bum CHO ; Tae Seok LEE ; Eun Kyung KIM
Journal of Korean Society of Endocrinology 2001;16(4-5):514-519
We report a 40-year-old female patient with clinical findings suggestive of insulinoma. Although imaging studies did not reveal any tumors in the pancreas, a selective arterial calcium stimulation test(SACI), procedurally simpler and more effective than transhepatic pancreatic venous sampling, was performed. And then near total pancreatectomy was carried out because the possibility of small insulinoma could not be completely excluded. Grossly, the surgically removed pancreas did not reveal any tumors. However, the pancreas exhibited islets cell hyperplasia. To our knowledge, this is the first reported authentic case in a Korean adult of islet-cell hyperplasia diagnosed by selective arterial calcium stimulation test.
Adult
;
Calcium*
;
Female
;
Humans
;
Hyperplasia*
;
Insulinoma
;
Pancreas
;
Pancreatectomy
9.Bilateral subclavian artery stenosis found by inter-arm blood pressure difference during distal pancreatectomy.
Do Hun KIM ; Mi Ja YUN ; Hyo Seok NA ; Jung Won LEE ; Hyo Ju HONG
Korean Journal of Anesthesiology 2013;65(5):477-479
No abstract available.
Blood Pressure*
;
Pancreatectomy*
;
Subclavian Artery*
;
Subclavian Steal Syndrome*
10.Which method of pancreatic surgery do medical consumers prefer among open, laparoscopic, or robotic surgery? A survey.
Wooil KWON ; Jin Young JANG ; Jae Woo PARK ; In Woong HAN ; Mee Joo KANG ; Sun Whe KIM
Annals of Surgical Treatment and Research 2014;86(1):7-15
PURPOSE: The consumers' preferences are not considered in developing or implementing new medical technologies. Furthermore, little efforts are made to investigate their demands. Therefore, their preferred surgical method and the factors affecting that preference were investigated in pancreatic surgery. METHODS: Six-hundred subjects including 100 medical personnel (MP) and 500 lay persons (LP) were surveyed. Questionnaire included basic information on different methods of distal pancreatectomy; open surgery (OS), laparoscopic surgery (LS), and robotic surgery (RS). Assuming they required the operation, participants were told to indicate their preferred method along with a reason and an acceptable cost for both benign and malignant conditions. RESULTS: For benign disease, the most preferred method was LS. Limiting the choice to LS and RS, LS was preferred for cost and well-established safety and efficacy. OS was favored in malignant disease for the concern for radicality. Limiting the choice to LS and RS, LS was favored for its better-established safety and efficacy. The majority thought that LS and RS were both overpriced. Comparing MP and LP responses, both groups preferred LS in benign and OS in malignant conditions. However, LP more than MP tended to prefer RS under both benign and malignant conditions. LP thought that LS was expensive whereas MP thought the cost reasonable. Both groups felt that RS was too expensive. CONCLUSION: Though efforts for development of novel techniques and broadening indication should be encouraged, still more investments and research should focus on LS and OS to provide optimal management and satisfaction to the patients.
Consumer Satisfaction
;
Humans
;
Investments
;
Laparoscopy
;
Methods
;
Pancreas
;
Pancreatectomy
;
Surveys and Questionnaires