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First experience of pancreaticoduodenectomy using Revo-i in a patient with insulinoma

Kang I, Hwang HK, Lee WJ, Kang CM

Robotic surgery systems have been developed to overcome the limitations of laparoscopic surgery. Recently, Meerecompany Inc. in Korea successfully manufactured a robotic surgical system called Revo-i. A 65-year old woman...
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Hepatobiliary and pancreatic surgery in the elderly: Current status

Papis D, Vagliasindi A, Maida P

Hepato-pancreatico-biliary (HPB) surgery includes major hepatic resection and pancreatic surgery, both procedures are complex and have a potentially high complication rate. The presence of centers of excellence with a high...
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Prediction of postoperative pancreatic fistula using a nomogram based on the updated definition

Guo CX, Shen YN, Zhang Q, Zhang XZ, Wang JL, Gao SL, Lou JY, Que RS, Ma T, Liang TB, Bai XL

PURPOSE: The International Study Group on Pancreatic Fistula's definition of postoperative pancreatic fistula (POPF) has recently been updated. This study aimed to identify risk factors for POPF in patients having...
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Short- and long-term outcomes of pancreaticoduodenectomy in elderly patients with periampullary cancer

Kang JS, Kim H, Kim JR, Han Y, Kim E, Byun Y, Choi YJ, Kwon W, Jang JY, Kim SW

PURPOSE: Pancreaticoduodenectomy (PD) is recently performed in older cancer patients. The complication rate of PD is high. The present study was to compare the postoperative short- and long-term outcomes of...
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Laparoscopic Whipple's Operation for Locally Advanced Gastric Cancer Invading the Pancreas and Duodenum: a Case Report

Lee CM, Yoon SY, Park S, Park SH

Few surgeons have adopted pancreaticoduodenectomy (PD) for the treatment of advanced gastric cancer (AGC) invading the pancreas or duodenum because it remains controversial whether its prognostic benefits outweigh the high...
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The impact of perioperative inotropes on the incidence of pancreatic leak following pancreaticoduodenectomy

Casey P, Chaudhury , Khan A, Amin J, Afzal A, Corallo C, Sebastian , Atkinson M, Subar D

BACKGROUNDS/AIMS: Pancreatic leak and fistula formation following pancreatic resection is a dreaded complication associated with significant morbidity and mortality. The perioperative use of inotropes has been implicated in anastomotic dehiscence...
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Clinical importance of preoperative and postoperative prognostic nutritional index in patients with pancreatic ductal adenocarcinoma

Ikeguchi M, Goto K, Watanabe J, Urushibara S, Osaki T, Endo K, Tatebe S, Nakamura S

BACKGROUNDS/AIMS: The prognostic nutritional index (PNI) is based on the albumin concentration and absolute lymphocyte count and is designed to assess the nutritional and immunological status of patients. In this...
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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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Synchronous Gastrointestinal Stromal Tumor and Ampullary Neuroendocrine Tumor in Association with Neurofibromatosis Type 1: A Report of Three Cases

Park EK, Kim HJ, Lee YH, Koh YS, Hur YH, Cho CK

Neurofibromatosis type 1 (NF1) is an autosomal dominant hereditary disorder. The pathogenesis of NF1 is suggested to be an alteration of the NF-1 gene, which normally functions as a tumor...
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One hundred sixty pancreaticoduodenectomies for periampullary cancers in a growing-volume setting: a single-institution and a single-surgeon's experience

Chang SH

PURPOSE: Many studies have concluded that cancer patients may have better outcomes when their surgery is performed in high-volume centers, especially when the procedure is pancreaticoduodenectomy (PD). However, some studies...
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A case of Wernicke's encephalopathy following complicated laparoscopic pylorus-preserving pancreaticoduodenectomy

Kim JS, Rho SY, Hwang HK, Lee WJ, Kang CM

Laparoscopic pylorus-preserving pancreaticoduodenectomy (PPPD)/pancreaticoduodenectomy (PD) is cautiously regarded as a safe and effective approach in well-selected patients with periampullary cancer. However, postoperative pancreatic fistula (POPF), delayed gastric emptying (DGE), postoperative...
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A case of pancreatic hamartoma pathologically confirmed after robot-assisted pancreaticoduodenectomy

Shin DH, Rho SY, Hwang HK, Lee WJ, Kang CM

Pancreatic hamartoma is a rare benign tumor that can be easily misdiagnosed due to its rarity. Its diagnostic ambiguity demands surgical resection for confirmation. We reported a 54-year-old female patient...
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Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy

Kim DH, Hong SC, Jang JY, Cho JK, Ju YT, Lee YJ, Jung EJ, Jeong SH, Park TJ, Kim JY, Kwag SJ, Park JH, Jeong CY

BACKGROUNDS/AIMS: This study is to evaluate the perioperative outcomes of the circular stapled method versus the hand-sewn method of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD). METHODS: In this...
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The pancreas as a target of metastasis from renal cell carcinoma: Results of surgical treatment in a single institution

Glinka J, Sanchez Claria R, Ardiles V, de Santibañes E, Pekolj J, de Santibañes M, Mazza O

BACKGROUNDS/AIMS: Metastasis in the pancreatic gland is infrequent, representing between 2–5% of the tumors that affect this organ. However, secondary lesions of clear cell renal carcinoma (CCRC) can occur mainly...
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Complete Remission of Metastatic Duodenal Neuroendocrine Carcinoma Treated with Chemotherapy and Surgical Resection

Won JH, Ryu JK

A 57-year-old male with periampullary duodenal mass was diagnosed as grade 3 duodenal neuroendocrine carcinoma with multiple liver metastasis. After nine cycles of cisplatin and etoposide, abdominal computed tomography (CT)...
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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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Single institute experience of pancreatico-enteric anastomosis failure after pancreaticoduodenectomy

Woo Y, You Y, Han J, Choi H, Kim Y, Kwak B, Hong T, Kim D

PURPOSE: We have summarized the experience of our institution related to what treatment has been performed in patients with pancreatic fistula and their outcome. METHODS: Seventy-eight pancreatico-enteric anastomosis failure (PEAF) patients...
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Robotic assisted laparoscopic completion pancreatectomy for recurrent intraductal papillary mucinous neoplasm after previous open pancreatoduodenectomy: A case report and literature review

Kyaw PP, Goh BK

Completion pancreatectomy (CP), is an effective, and potentially curative option for selected patients with local recurrence of pancreatic neoplasms in the remnant pancreas after initial pancreatoduodenectomy (PD). Traditionally CP has...
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Development of adenocarcinoma at the remnant intrapancreatic cyst 16 years after resection of the choledochal cyst

Oh SY, Kwon JH, Hwang S

One of the main reasons to resect choledochal cyst (CC) is to prevent malignant transformation. After resection of CC, the remnant intrapancreatic bile duct is no longer exposed to the...
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Training in the Japanese Society of Hepato-Biliary-Pancreatic Surgery board certification system for expert surgeons during 225 consecutive pancreaticoduodenectomies

Hashimoto , Okawa T, Matsumura

BACKGROUNDS/AIMS: A board certification system has been established by the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) for certifying surgeons who can perform high-level hepato-biliary-pancreatic surgeries safely. The aim of this...
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