Duodenopancreatectomy for pancreatic tumors

A.G. Kriger

Institut khirurgii im. A.V. Vishnevskogo, Moskva

G.G. Karmazanovskiĭ

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

SPIN RSCI: 5964-2369
Scopus AuthorID: 55944296600

S.V. Berelavichus

Institut khirurgii im. A.V. Vishnevskogo, Moskva

D.S. Gorin

Institut khirurgii im. A.V. Vishnevskogo, Moskva

SPIN RSCI: 4284-4275
Scopus AuthorID: 35299202200

A.R. Kaldarov

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

V.I. Panteleev

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

M.V. Dvukhzhilov

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

D.V. Kalinin

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

A.V. Glotov

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

V.Yu. Zektser

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

Duodenopancreatectomy for pancreatic tumors — pros and cons

Authors:

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

More about the authors

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

DOI: 10.17116/hirurgia201912128

Downloaded: 60

To cite this article:

Kriger AG, Karmazanovskiĭ GG, Berelavichus SV, Gorin DS, Kaldarov AR, Panteleev VI, Dvukhzhilov MV, Kalinin DV, Glotov AV, Zektser VYu. 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

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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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:

A.G. Kriger

Institut khirurgii im. A.V. Vishnevskogo, Moskva

G.G. Karmazanovskiĭ

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

SPIN RSCI: 5964-2369
Scopus AuthorID: 55944296600

S.V. Berelavichus

Institut khirurgii im. A.V. Vishnevskogo, Moskva

D.S. Gorin

Institut khirurgii im. A.V. Vishnevskogo, Moskva

SPIN RSCI: 4284-4275
Scopus AuthorID: 35299202200

A.R. Kaldarov

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

V.I. Panteleev

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

M.V. Dvukhzhilov

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

D.V. Kalinin

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

A.V. Glotov

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

V.Yu. Zektser

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

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