Posterior versus standard approach in pancreatoduodenectomy: a case-match study
Autori: Traian Dumitrascu & Leonard David & Irinel Popescu Fundeni Clinical Institute, Bucharest, Romania Rezumat: Background and aims Posterior approach pancreatoduodenectomy (paPD) technique is one of the many modifications of the standard Whipple procedure (sPD). The most important modification of the technique is first approach of the superior mesenteric artery, thus enabling a complete dissection of the right side of this artery and of the portal vein, as well as a complete excision of the retroportal pancreatic lamina. The present [...]
Pathological characteristics and clinical specifications in gastroenteropancreatic neuroendocrine tumors: a study of 68 cases
Autori: ELENA STOICA-MUSTAFA1), C. PECHIANU1), ANDREEA IORGESCU1), MONICA HORTOPAN1), SIMONA OLIMPIA DIMA2), V. TOMULESCU2), T. DUMITRAŞCU2), C. UNGUREANU2), D. ANDRONESI2), I. POPESCU2), V. HERLEA1) 1)Department of Pathology 2)Centre of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest Rezumat: Introduction: Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) represent a group of tumors, having their origin in cells of diffuse endocrine system, with particular clinical course, diagnosis and treatment. Patients and Methods: In our study, were included 68 patients with neuroendocrine digestive tumors admitted, [...]
Central pancreatectomy for a pancreatic metastasis of colon cancer – a case report
Autori: Traian Dumitrașcu*, Andra Scarlat*, Silviu Ciurea, Irinel Popescu “Dan Setlacec” Center of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania Rezumat: Background: Isolated pancreatic metastases of other neoplasms are an uncommon pathology, particularly with a colo-rectal cancer origin. Surgery represents the single hope for a long-term survival in these patients, but most of the previously reported patients in the literature underwent standard pancreatic resections. A central pancreatectomy is a non-standardized pancreatic resection, which was exceptionally reported for [...]
Central pancreatectomy – a suitable candidate for robotic surgery
Autori: Oana Stănciulea, Simona Dima, Mihai Eftimie, Iulian Mosteanu, Irinel Popescu “Dan Setlacec” Center of General Surgery and Liver Transplantation Fundeni Clinical Institute, Bucharest, Romania Rezumat: Background: In the last few decades central pancreatectomy is increasedly adopted in treatment of benign pancreatic lesions situated in the body of the pancreas, especially in young patients. With recent advances in technology, patients with these lesions could benefit from the advantages of the robotic approach. Case presentation: We present the case of a [...]
Central pancreatectomy revisited
Autori: Traian Dumitrașcu, Irinel Popescu Center of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania Rezumat: Central pancreatectomy (CP) is a parenchyma-sparing alternative resection to distal pancreatec- tomy, for benign and low malignant potential tumors located on the pancreatic isthmus and/ or body. Pancreatic metastases of other neoplasia might also benefit after a CP, in selected patients. Dagradi and Serio described the modern technique of CP, while Iacono introduced it in current clinical practice. An open CP represents [...]
Pancreatogastrostomy – History and current evidence
Autori: Louisa Bolm1, Ulrich F Wellner1, Yogesh K Vashist2, Tobias Keck1 1Clinic of Surgery, UKSH Campus Lübeck, Germany 2Department of Surgery, University Clinic Hamburg Eppendorf, Germany Rezumat: Two anastomotic techniques are available for reconstruction after pancreatoduodenectomy: pancreatojejunostomy, which is the traditional and most widely used technique, and pancreatogastrostomy. The latter was introduced into clinical practice more than 50 years ago, and has recently received increasing attention due to favorable outcome when compared to pancreatojejunostomy in randomized controlled trials. We briefly [...]