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- W2998629201 abstract "Background: The pancreatic uncinatectomy is a more conservative approach than a pancreaticoduodenectomy and an adequate procedure to treat benign lesions and low grade malignancies. Despite the fact that it has some advantages as lower postoperative morbidity and parenchymal preservation, it is a rarely reported surgery.[1] [2] We report a patient in which preoperative image studies showed a neuroendocrine tumor of the uncinate process of the pancreas with close relation to the pancreatic head and Wirsung. Initial idea was to perform a laparoscopic pancreaticoduodenectomy, but a intraoperative sonography demonstrated that a parechymal sparing procedure would be possible. Methods: A 62 year old patient with a 2,4 cm lesion on the uncinate process with close relation to Wirsung duct on MRI. eondocopic sonography guided biopsy disclosed a neuroendocrine tumor. Patient was submitted to laparoscopy with intent of performing a pancreaticoduodenectomy but an intraoperative sonography showed that the tumor was a few milimeters away from the Wirsung duct. Option was to perform a laparoscopic uncinatectomy. Results: Operative time was 220 minutes. Estimated blood loss was 80 ml. Discharged at fourth postoperative day. Developed a grade A fistulae and the drain was removed two weeks after the surgery. Conclusion: The use of intraoperative laparoscopic sonography in pancreatic procedures may add important additional anatomical information that can make possible parenchymal sparing procedures and avoid unecessary exterded surgeries. References [1] Machado MA, (2009), Laparoscopic resection of uncinate process of the pancreas., Surg Endosc, 1391 [2] Rotellar F, (2011), Laparoscopic resection of the uncinate process of the pancreas: the inframesocolic approach and hanging maneuver of the mesenteric root., Surg Endosc, 3426" @default.
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- W2998629201 date "2019-01-01" @default.
- W2998629201 modified "2023-09-30" @default.
- W2998629201 title "Importance of intraoperative laparoscopic sonography in pancreatic surgery: turning a pancreaticoduodenectomy into a laparoscopic uncinatectomy" @default.
- W2998629201 doi "https://doi.org/10.1016/j.hpb.2019.10.569" @default.
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