Duodenopancreatectomy for pancreatic tumors — pros and cons

Kriger A.G.; Karmazanovskiĭ G.G.; Berelavichus S.V.; Gorin D.S.; Kaldarov A.R.; Panteleev V.I.; Dvukhzhilov M.V.; Kalinin D.V.; Glotov A.V.; Zektser V.Yu.

doi:https://doi.org/10.17116/hirurgia201912128

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Karmazanovskiĭ G.G.

FGBU "Institut khirurgii im. A.V. Vishnevskogo" Minzdrava Rossii, Moskva

SPIN RSCI: 5964-2369
Scopus AuthorID: 55944296600

Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

SPIN RSCI: 4284-4275
Scopus AuthorID: 35299202200
ORCID: 0000-0002-6452-4458

Kaldarov A.R.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava Rossii, Moskva

Panteleev V.I.

A.V. Vishnevsky Institute of Surgery, Moscow, Russia

Dvukhzhilov M.V.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation, Moscow, Russia

Kalinin D.V.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva

Glotov A.V.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Zektser V.Yu.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Duodenopancreatectomy for pancreatic tumors — pros and cons

Authors:

Kriger A.G., Karmazanovskiĭ G.G., Berelavichus S.V., Gorin D.S., Kaldarov A.R., Panteleev V.I., Dvukhzhilov M.V., Kalinin D.V., Glotov A.V., Zektser V.Yu.

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Journal: Pirogov Russian Journal of Surgery. 2019;(12): 28‑36

DOI: 10.17116/hirurgia201912128

Read: 3398 times

To cite this article:

Kriger AG, Karmazanovskiĭ GG, Berelavichus SV, et al. . Duodenopancreatectomy for pancreatic tumors — pros and cons. Pirogov Russian Journal of Surgery. 2019;(12):28‑36. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia201912128

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Objective. To optimize surgical treatment of multiple and advanced pancreatic tumors. Material and methods. There were 852 patients with various pancreatic tumors for the period 2011 — September 2019. Duodenopancreatectomy (DPE) was performed in 18 patients. Locally advanced ductal adenocarcinoma was diagnosed in 10 patients, acinar cell carcinoma — in 1 patient, multiple neuroendocrine tumors — in 4 cases, intraductal papillary mucinous tumor — in 2 patients, multiple metastases of renal cell carcinoma — in 1 patient. This procedure was avoided in 9 patients who underwent alternative operations: pancreatoduodenectomy (PDE) with pancreatic body resection for intraductal papillary mucinous tumor — 5 cases, two-stage (2) and one-stage (1) distal pancreatectomy and PDE for multiple neuroendocrine tumors — 2 patients, simultaneous pancreatic head resection and distal pancreatectomy for multiple metastases of renal cell carcinoma — 1 patient. Results. Postoperative complications occurred in 14 patients after DPE (77.8%) and in 5 patients after alternative operations (55.5%). Alternative procedures in patients with neuroendocrine tumors, intraductal papillary mucinous tumors and metastases of renal cell carcinoma ensured radical surgical treatment. These patients did not need for insulin replacement therapy and enzyme drugs. Conclusion. Strict adherence to oncological canons and differentiated approach in patients with multiple neuroendocrine tumors, metastases of renal cell carcinoma and intraductal papillary mucinous tumors are essential to avoid DPE in some cases in favor of alternative operations.

Keywords:

duodenopancreatectomy

total duodenopancreatectomy

pancreatoduodenectomy

pancreas

Authors:

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Karmazanovskiĭ G.G.

FGBU "Institut khirurgii im. A.V. Vishnevskogo" Minzdrava Rossii, Moskva

SPIN RSCI: 5964-2369
Scopus AuthorID: 55944296600

Berelavichus S.V.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Gorin D.S.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

SPIN RSCI: 4284-4275
Scopus AuthorID: 35299202200
ORCID: 0000-0002-6452-4458

Kaldarov A.R.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava Rossii, Moskva

Panteleev V.I.

A.V. Vishnevsky Institute of Surgery, Moscow, Russia

Dvukhzhilov M.V.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation, Moscow, Russia

Kalinin D.V.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva

Glotov A.V.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Zektser V.Yu.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

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References:

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