オオヒガシ　セイジ   大東　誠司    所属   その他 その他    職種   非常勤嘱託
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Pancreas-sparing tumor enucleation for pancreatic mucinous cystic neoplasms: experience with two patients.
掲載誌名	正式名：Journal of hepato-biliary-pancreatic surgery 略　 称：J Hepatobiliary Pancreat Surg ISSNコード：09441166/09441166
掲載区分	国外
巻・号・頁	14(2),pp.167-70
著者・共著者	Ohigashi Seiji †, Shimada Gen, Suzuki Akihiro, Onodera Hisashi
発行年月	2007
概要	BACKGROUND:Because mucinous cystic neoplasms (MCNs) occur in the body and tail of the pancreas, distal pancreatectomy has been conventionally performed. However, enucleation can be adopted in selected patients, preserving the pancreatic parenchyma.METHODS:We experienced two patients with MCN who underwent pancreatic tumor enucleation. Case 1 involved a very large MCN, 23 cm across. Connective tissues between the tumor and the pancreatic parenchyma were not dense, so it was relatively easy to perform pancreatic cyst resection. Case 2 involved a MCN, 5 cm across, located next to the body of the pancreas. Fibrotic changes were so dense that it was difficult to separate the tumor from the pancreatic parenchyma. Careful and gentle dissection enabled pancreas-sparing enucleation without injury to the cyst wall.RESULTS:Enucleation of MCNs were performed successfully, preserving the pancreatic parenchyma. No complications were observed in either case.CONCLUSIONS:It is important to adopt the appropriate surgical procedure for MCN, considering the balance between radical resection and preservation of pancreatic function. Although careful attention should be paid to the assessment of malignant potential in each case of MCN, pancreas-sparing tumor enucleation can be considered as one of the treatment options in selected patients.
DOI	10.1007/s00534-006-1144-y
PMID	17384908