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Surgical treatment and prognosis of 96 cases of intraductal papillary mucinous neoplasms of the pancreas: A retrospective cohort study
Tian, Xiaodong; Gao, Hongqiao; Ma, Yongsu; Zhuang, Yan; Yang, Yinmo
关键词Intraductal Papillary Mucinous Neoplasm Prognosis Pancreas Surgery
刊名INTERNATIONAL JOURNAL OF SURGERY
2015
DOI10.1016/j.ijsu.2014.11.028
13页:49-53
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]INTERNATIONAL CONSENSUS GUIDELINES ; MANAGEMENT ; IPMN
英文摘要

Introduction: The indications, the extent and type of surgery for intraductal papillary mucinous neoplasm (IPMN) are still controversial. This study aimed to investigate clinical manifestation, individualized surgical treatment, and prognosis of IPMN of pancreas. Methods: The clinical data of 96 IPMN cases treated in our hospital between January 2006 and December 2013 were retrospectively analyzed. Among the 96 patients (58 male and 38 female), 46 were main-duct type, 29 were branch-duct type, 21 were mixed type. Pancreatectomy was performed on 78 cases, including pancreaticoduodenectomy on 43 patients, distal pancreatectomy on 25, segmental pancreatectomy on 6, and total pancreatectomy on 4. A regular follow-up without surgical treatment was performed on 18 cases with asymptomatic side branch IPMN less than 3 cm in diameter. Results: The overall postoperative morbidity rate was 33.3%, and there was no perioperative mortality. 46 cases were non-invasive IPMN, 32 cases were invasive IPMN including 14 cases with lymph node metastasis. The five-year survival rate for patients with non-invasive and invasive carcinomas was 96.2% and 35.2%, respectively. The prognosis of invasive cases with lymph node metastasis was significantly worse than those without lymph node metastasis. No progression was found during the follow-up in 18 asymptomatic small branch duct type IPMN patients. Conclusion: IPMN has a relative good prognosis. Main duct type and mixed type IPMN have a higher malignant potential, and should receive surgical treatment. Patients of branch duct type IPMN with lesion <3 cm in diameter and without clinical manifestations can be managed with close follow-up. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

语种英语
WOS记录号WOS:000348666000010
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58179
专题北京大学第一临床医学院_普通外科
作者单位Peking Univ, Hosp 1, Dept Gen Surg, Beijing 100034, Peoples R China
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Tian, Xiaodong,Gao, Hongqiao,Ma, Yongsu,et al. Surgical treatment and prognosis of 96 cases of intraductal papillary mucinous neoplasms of the pancreas: A retrospective cohort study[J]. INTERNATIONAL JOURNAL OF SURGERY,2015,13:49-53.
APA Tian, Xiaodong,Gao, Hongqiao,Ma, Yongsu,Zhuang, Yan,&Yang, Yinmo.(2015).Surgical treatment and prognosis of 96 cases of intraductal papillary mucinous neoplasms of the pancreas: A retrospective cohort study.INTERNATIONAL JOURNAL OF SURGERY,13,49-53.
MLA Tian, Xiaodong,et al."Surgical treatment and prognosis of 96 cases of intraductal papillary mucinous neoplasms of the pancreas: A retrospective cohort study".INTERNATIONAL JOURNAL OF SURGERY 13(2015):49-53.
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