The European journal of surgery = Acta chirurgica · 1995
Transduodenal excision of benign adenoma of the papilla of Vater.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sand J A, Nordback I H
Аннотация
OBJECTIVE: To evaluate methods of diagnosis and treatment of benign adenoma of the papilla of Vater.
DESIGN: Retrospective study.
SETTINGS: University hospital, Finland.
SUBJECTS: Five patients who had transduodenal excision of adenomas of the papilla of Vater from 1988-1993.
MAIN OUTCOME MEASURES: Symptoms, preoperative staging with side-viewing duodenoscopy and endoscopic retrograde cholangiopancreatography, histological appearance of operative frozen section, postoperative complications, and duodenoscopic follow up.
RESULTS: Only the patients with tumours less than 3 cm and strictures of the distal bile or pancreatic duct of less than 1.5 cm were selected for transduodenal excision. Both examination of operative frozen sections and final histological examination confirmed benign adenoma in each patient. Four of the patients recovered with no complications, but one patient developed bronchopneumonia. The preoperative symptoms (bleeding, jaundice, pancreatitis, pain) resolved in all patients. During the follow up (median 18 months) none of the patients developed recurrent disease.
CONCLUSION: This experience supports our policy of transduodenal excision of benign adenoma of the papilla of Vater for carefully selected patients.
DESIGN: Retrospective study.
SETTINGS: University hospital, Finland.
SUBJECTS: Five patients who had transduodenal excision of adenomas of the papilla of Vater from 1988-1993.
MAIN OUTCOME MEASURES: Symptoms, preoperative staging with side-viewing duodenoscopy and endoscopic retrograde cholangiopancreatography, histological appearance of operative frozen section, postoperative complications, and duodenoscopic follow up.
RESULTS: Only the patients with tumours less than 3 cm and strictures of the distal bile or pancreatic duct of less than 1.5 cm were selected for transduodenal excision. Both examination of operative frozen sections and final histological examination confirmed benign adenoma in each patient. Four of the patients recovered with no complications, but one patient developed bronchopneumonia. The preoperative symptoms (bleeding, jaundice, pancreatitis, pain) resolved in all patients. During the follow up (median 18 months) none of the patients developed recurrent disease.
CONCLUSION: This experience supports our policy of transduodenal excision of benign adenoma of the papilla of Vater for carefully selected patients.