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KMID : 0985520130180030022
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 3 p.22 ~ p.27
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Surgical Management of Pancreatic Cystic Neoplasms
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Jang Jin-Young
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Abstract
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With improvement of diagnostic modality and accessibility to routine health check, the diagnosis of pancreatic cystic neoplasm has been increased rapidly. Accumulation of cases with cystic neoplasms has changed the concept and treatment of each disease entities. Although surgical resection is a gold standard for many of pancreatic cystic neoplasm especially with malignant potential, selection of treatment must be customized according to the suspected diagnosis, presence of symptoms, location of tumor, patients’ willingness to get operation, and co-morbidity. After decision of operation, several factors to be considered to select operation methods are pancreatic functional loss, risk of malignancy/lymph node metastasis and operative risk. Except cases with high malignant potential, most of pancreatic cystic neoplasms can be good indication for minimally invasive or organ preserving pancreatic surgery to minimize the functional loss of pancreas. In this review, several kinds of surgical methods including laparoscopic surgery will be addressed with indication and pitfall of each procedure.
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KEYWORD
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Pancreatic Cystic Neoplasms, surgical indication, intraductal papillary mucinous neoplasm, mucinous cystic neoplasm, serous cystic neoplasm, organ preserving pancreatectomy, minimally invasive pancreatectomy
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