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KMID : 0371420180950010022
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Annals of Surgical Treatment and Research
2018 Volume.95 No. 1 p.22 ~ p.28
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Transduodenal ampullectomy for ampullary tumors ? single center experience of consecutive 26 patients
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Hong Sa-Rang
Song Ki-Byung
Lee Young-Joo
Park Kwang-Min
Kim Song-Cheol
Hwang Dae-Wook
Lee Jae-Hoon
Kwon Jae-Woo
Ma Chung-Hyeun
Hwang Seung-Hyun
Park Gui-Suk
Park Ye-Jong
Lee Seung-Jae
Kim Yong-Woon
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Abstract
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Purpose: Transduodenal ampullectomy (TDA) has been reported in a limited number of cases and in a small number of case series. The aim of this study was to analyze perioperative and long-term oncological outcomes of patients with ampullary tumors who underwent TDA in a single large-volume center.
Methods: Through a retrospective review of data from 2004 to 2016, we identified 26 patients who underwent TDA at Asan Medical Center.
Results: Eleven of 26 patients underwent TDA for T1 and carcinoma in situ (high-grade dysplasia) cancer; these patients are still alive without recurrence. A major in-hospital complication (3.8%) occurred in 1 case, but there was no case of 90-day mortality. In addition, none of the patients was diagnosed as having newly developed diabetes mellitus after TDA. No significant differences were found between open and laparoscopic-TDA in terms of operation time, painkiller use, and hospital stay.
Conclusion: TDA is a feasible and effective surgical procedure for the treatment of selected patients with ampullary tumors. It is an alternative treatment option in cases of ampullary tumors not amenable to endoscopic papillectomy or pancreaticoduodenectomy.
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KEYWORD
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Ampulla of Vater, Transduodenal ampullectomy, Ampullary tumorPurpose
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