Actual issues of pancreatic tumor surgery

Kriger A.G.

doi:https://doi.org/10.17116/hirurgia20211015

Kriger A.G.

Russian Research Center of Radiology;
Russian Medical Academy of Postgraduate Education

ORCID: 0000-0002-4567-8312

Actual issues of pancreatic tumor surgery

Authors:

Kriger A.G.

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Journal: Pirogov Russian Journal of Surgery. 2021;(10): 5‑12

DOI: 10.17116/hirurgia20211015

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To cite this article:

Kriger AG. Actual issues of pancreatic tumor surgery. Pirogov Russian Journal of Surgery. 2021;(10):5‑12. (In Russ.)
https://doi.org/10.17116/hirurgia20211015

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

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the features of diagnosis and treatment of pancreatic tumors.

MATERIAL AND METHODS

This report is based on the results of 389 surgeries for different pancreatic neoplasms performed in the abdominal surgery department of the Vishnevsky Center of Surgery between 2016 and 2020.

RESULTS

Most serous cystic adenomas don’t require surgical treatment. At the same time, mucinous cystic neoplasms should be exsiced. Intraductal papillary mucinous neoplasms type I and III should be surgically treated in organ-sparing fashion. Minimally invasive enucleation is desirable for solid pseudopapillary neoplasm. There is a high risk of post-pancreatecomy pancreatitis and fistula in patients with pancreatic neuroendocrine tumors. Pancreatic fistula and hemorrhage occurred in 23% and 17% of cases after pancreaticoduodenectomy (n=211), respectively.

CONCLUSION

The choice of surgical strategy for pancreatic tumors is a quite complex problem. Technical features of surgeries require special experience. Surgical treatment of patients with pancreatic tumors should be carried out in specialized pancreatic centers.

Keywords:

pancreas

pancreatic tumor

surgical treatment

Authors:

Kriger A.G.

Russian Research Center of Radiology;
Russian Medical Academy of Postgraduate Education

ORCID: 0000-0002-4567-8312

Received:

25.06.2021

Accepted:

10.07.2021

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References:

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