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Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm
http://hdl.handle.net/2297/36495
http://hdl.handle.net/2297/3649535bc75c2-6f3f-4adb-95a5-0a433077a6e1
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
ME-PR-KAWAGUCHI-M-1117.pdf (279.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2017-10-03 | |||||
| タイトル | ||||||
| タイトル | Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Kawaguchi, Masahiko
× Kawaguchi, Masahiko× Ishikawa, Norihiko× Shimada, Mari× Nishida, Yuji× Moriyama, Hideki× Ohtake, Hiroshi× Watanabe, Go |
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| 書誌情報 |
International Journal of Surgery Case Reports 巻 4, 号 12, p. 1117-1119, 発行日 2013-01-01 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 2210-2612 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.1016/j.ijscr.2013.07.038 | |||||
| 出版者 | ||||||
| 出版者 | Elsevier | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | INTRODUCTION Most gastroenterological surgeries, even pancreatic surgery, can now be performed laparoscopically. However, the management of concomitant abdominal aortic aneurysm (AAA) and intra-abdominal malignancy is controversial. The performance of endovascular repair (EVAR) for AAA has been increasing; however, there is no report of laparoscopic pancreaticoduodenectomy after EVAR. PRESENTATION OF CASE A pancreatic tumor was detected during follow-up after EVAR for AAA. The enlarging tumor was diagnosed as an intraductal papillary mucinous tumor with a nodule. Laparoscopic pancreaticoduodenectomy was safely performed. After laparoscopic dissection around the pancreas head, an additional incision was made in the upper abdomen, and pancreatic reconstruction was performed through the incision. In spite of grade B pancreatic fistulae, the patient recovered with medical therapy. The pathological diagnosis was intraductal papillary mucinous adenoma with small foci of carcinoma in situ. The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months. DISCUSSION The management of concomitant malignancy and AAA is challenging, especially in patients with a pancreatic tumor. The reasons for the rarity of treatment include prognosis, anatomical vicinity, and postoperative complications. EVAR reduces retroperitoneal adhesions. A laparoscopic approach provides a small operative field and decreases mutual interference with AAA. Moreover, reconstruction is performed through an upper abdominal incision apart from the AAA. Hand-sewing provides more reliable stability of the anastomosis. CONCLUSION The increasing frequency of performance of EVAR for AAA and subsequent computed tomography may help to detect malignancy. Laparoscopic surgery appears to be a valid approach to malignancy after EVAR. © 2013 The Authors. | |||||
| 権利 | ||||||
| 権利情報 | © 2013 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd. ; Creative Commons Attribution License, Creative Commons Attribution Non-Commercial Share Alike License or Creative Commons Attribution Non-Commercial No-Derivatives License. | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
