Добірка наукової літератури з теми "Distal pancreatectomy"

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Статті в журналах з теми "Distal pancreatectomy"

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Kleeff, J??rg, Markus K. Diener, Kaspar Z??graggen, Ulf Hinz, Markus Wagner, Jeannine Bachmann, J??rg Zehetner, Michael W. M??ller, Helmut Friess, and Markus W. B??chler. "Distal Pancreatectomy." Annals of Surgery 245, no. 4 (April 2007): 573–82. http://dx.doi.org/10.1097/01.sla.0000251438.43135.fb.

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Tang, Cheng Wu, Wen Ming Feng, Ying Bao, Mao Yun Fei, and Yu Long Tao. "Spleen-preserving Distal Pancreatectomy or Distal Pancreatectomy With Splenectomy?" Journal of Clinical Gastroenterology 48, no. 7 (August 2014): e62-e66. http://dx.doi.org/10.1097/mcg.0000000000000021.

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Merlo, I. G., J. Grondona, R. Bracco, D. Fernández, P. Angiolini, F. García, F. De Francesco, D. Huerta, and M. Andrade. "Laparoscopic distal pancreatectomy." HPB 23 (2021): S313. http://dx.doi.org/10.1016/j.hpb.2020.11.795.

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NAKAMURA, Masafumi, Takao OHTSUKA, Hiroshi NAKASHIMA, Kosuke TSUTSUMI, Shunichi TAKAHATA, and Masao TANAKA. "Extensive distal pancreatectomy." Suizo 27, no. 5 (2012): 663–67. http://dx.doi.org/10.2958/suizo.27.663.

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Sherwinter, Danny A., Jana Lewis, Jesus E. Hidalgo, and Jonathan Arad. "Laparoscopic Distal Pancreatectomy." JSLS : Journal of the Society of Laparoendoscopic Surgeons 16, no. 4 (2012): 549–51. http://dx.doi.org/10.4293/108680812x13462882736943.

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Suman, Paritosh, John Rutledge, and Anusak Yiengpruksawan. "Robotic Distal Pancreatectomy." JSLS : Journal of the Society of Laparoendoscopic Surgeons 17, no. 4 (2013): 627–35. http://dx.doi.org/10.4293/108680813x13794522667409.

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Salman, Bulent, Tonguc Utku Yilmaz, Kursat Dikmen, and Mehmet Kaplan. "Laparoscopic distal pancreatectomy." Journal of Visualized Surgery 2 (August 12, 2016): 141. http://dx.doi.org/10.21037/jovs.2016.07.21.

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Pugliese, Raffaele, Dario Maggioni, Fabio Sansonna, Ildo Scandroglio, Antonello Forgione, Marco Boniardi, Andrea Costanzi, et al. "Laparoscopic Distal Pancreatectomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 18, no. 3 (June 2008): 254–59. http://dx.doi.org/10.1097/sle.0b013e31816b4bd2.

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Mekeel, Kristin L., Adyr A. Moss, Kunam S. Reddy, David C. Mulligan, and Kristi L. Harold. "Laparoscopic Distal Pancreatectomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 21, no. 5 (October 2011): 362–65. http://dx.doi.org/10.1097/sle.0b013e31822e0ea8.

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Strasberg, Steven M. "Laparoscopic distal pancreatectomy." Operative Techniques in General Surgery 6, no. 1 (March 2004): 63–67. http://dx.doi.org/10.1053/j.optechgensurg.2004.01.005.

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Дисертації з теми "Distal pancreatectomy"

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Dorcaratto, Dimitri. "Transección parenquimatosa pancreática mediante dispositivo asistido por radiofrecuencia en un modelo porcino de pancreatectomía distal laparoscópica." Doctoral thesis, Universitat Autònoma de Barcelona, 2013. http://hdl.handle.net/10803/120218.

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La mortalidad después de la realización de pancreatectomía distal (PD) ha disminuido de forma significativa en las últimas décadas. A pesar de ello la morbilidad persiste elevada e invariada, sobre todo a causa de la falta de un método de cierre del remanente pancreático que evite la fuga del líquido pancreático después de la sección glandular. La fístula pancreática postoperatoria (FPP) es actualmente la complicación más frecuente y grave asociada a la realización de PD, siendo causa de un aumento de la mortalidad a breve y largo plazo. Actualmente los métodos de cierre parenquimatoso más utilizados, como la sutura manual o el grapado mecánico, no han demostrado su superioridad cuando comparados entre sí o con otros, siendo las tasas de FPP alrededor del 30-50%. Por esta razón muchos grupos han centrado su atención en otros métodos de sellado entre los que se encuentran los dispositivos asistidos por radiofrecuencia (RF). Estos dispositivos han demostrado previamente su eficacia en el sellado del parénquima de otros órganos sólidos tras su sección, como es el caso del hígado. La hipótesis de nuestro trabajo es que la necrosis coagulativa obtenida mediante la aplicación de RF a la superficie de transección pancreática pueda conseguir el sellado de vasos y ductos pancreáticos principal y secundarios, sin dañar el resto del remanente glandular. Los objetivos son la evaluación de la seguridad del uso de un dispositivo de transección pancreática asistido por RF en términos de complicaciones intra y postoperatorias, así como su eficacia en términos de prevención de FPP. Además queremos comparar la eficacia de sellado de dicho dispositivo con la de la grapadora mecánica. En la primera parte del estudio se ha por lo tanto evaluado la seguridad y eficacia del dispositivo asistido por RF en un modelo porcino de PD laparoscópica (PDL) en 10 cerdos de la raza Landrace. En la segunda parte del estudio se ha comparado la eficacia del dispositivo con la del grapado mecánico en términos de prevención de FPP, en el mismo modelo, en un estudio aleatorizado, realizando la PDL en 16 animales mediante dispositivo asistido por RF (grupo RF) y en 16 animales mediante grapadora mecánica (grupo ST). En la primera parte del estudio no se evidenciaron complicaciones graves intra ni postoperatorias en ninguno de los animales intervenidos. Un animal presentó una elevación de la concentración de la amilasa en líquido peritoneal durante el postoperatorio, por lo que se diagnosticó de una FPP sin repercusión clínica. En la segunda parte del estudio el animal del grupo RF y 2 animales del grupo ST presentaron FPP. No se evidenciaron otras complicaciones graves ni muertes en los dos grupos. No se evidenciaron diferencias entre grupos en la concentración plasmática de la glucosa ni la amilasa durante el postoperatorio. Todos los animales del grupo RF presentaron, en el análisis histopatológico del remanente pancreático realizado 4 semanas después de la intervención, un patrón común de necrosis coagulativa de la superficie de transección rodeada por fibrosis espesa que sellaba los conductos pancreáticos. No se evidenciaron signos de pancreatitis del remanente. Las concentraciones peritoneales de interleukina 6 (IL6) fueron comparables entre grupos. Nuestro trabajo sugiere por lo tanto que la necrosis coagulativa debida a la aplicación de RF sobre el parénquima pancreático para realizar la transección glandular en un modelo porcino de PDL es un método seguro y por lo menos tan eficaz como el grapado mecánico en términos de prevención de la FPP.
Mortality after performing distal pancreatectomy (DP) has decreased during the last decades. However morbidity persists elevated and unchanged, mainly due to the lack of a sealing method which could avoid the pancreatic fluid leak after the glandular section. Postoperative pancreatic fistula (PPF) is today the most frequent and serious complication after DP and is associated with increased short and long term mortality rates. At present the most used sealing methods, such as manual suture or mechanical stapling, failed to demonstrate their superiority in PPF prevention, when compared with other method or between them, with PPF rates reaching 30-50%. For this reason, many groups have focused their attention on other sealing methods, such as radiofrequency (RF) assisted devices. These devices have previously demonstrated their efficacy in terms of sealing of the parenchyma of other solid organs such as the liver. The hypothesis of our work is that the coagulative necrosis obtained by the application of RF to the pancreatic transection surface can achieve the sealing of vessels and main and secondary pancreatic ducts, without injuring the rest of the glandular remnant. The objectives of the study are the evaluation of the safety of the use of a RF assisted pancreatic transection device in terms of intra and postoperative complications and the evaluation of the efficacy in terms of PPF prevention. Furthermore we wanted to compare the efficacy of the RF assisted device with stapler device in the prevention of PPF. In the first part of the study we assessed the security and efficacy of the RF device in a porcine model of laparoscopic DP (LDP) on 10 Landrace pigs. In the second part, we compared the efficacy of the RF device with stapler device in a randomized study on the same model, performing LDP with the RF device on 16 pigs (RF group) and on 16 pigs with the stapler device (ST group). In the first part of the study we did not find any intra or postoperative mayor complication. One animal presented an elevation of peritoneal amylase concentration and was diagnosed of a PPF without clinical consequences. In the second part of the study one animal in the RF group and 2 animals in the ST group presented PPF. No other mayor complications or deaths were observed in any group. Plasmatic amylase and glucose concentration were similar between groups during postoperative follow-up. All RF group animals presented, at the histo-pathological analysis performed 4 weeks after surgery, a common pattern of central coagulative necrosis of the transection surface, surrounded by thick fibrosis which sealed pancreatic ducts. There were no signs of pancreatitis of the pancreatic remnant. Peritoneal liquid interleukin 6 concentrations were similar between groups. Our work demonstrated that the coagulative necrosis achieved by RF application on pancreatic parenchyma in order to realize pancreatic transection in a porcine model of LDP is secure and at least as effective as the use of surgical stapler.
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Matteo, De Pastena. "Tri-Staple vs Ultrasonic Scalpel in Distal Pancreatectomy (TRUDY). A randomized controlled, multicenter, patient blinded, superiority trial." Doctoral thesis, 2021. http://hdl.handle.net/11562/1043812.

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Background: Several systematic reviews have investigated pancreatic stump management to reduce the postoperative pancreatic fistula (POPF) rate. The study aimed to evaluate if the parenchymal transection using the triple-row reinforced stapler decreases the incidence of POPF compared with ultrasonic transection after distal pancreatectomy (DP). Methods: a bicentric, phase 3, patient-blinded, randomized clinical trial was conducted. All patients submitted to elective DP from July 2018 through July 2020 were screened. Exclusion criteria were an extended resection, gastrointestinal resections or anastomoses, and a pancreatic thickness >17 mm measured at the point of parenchymal transection. The experimental group received the Endo GIA Reinforced Reload with Tri-Staple Technology (TS), while the control group the Harmonic Focus (US). Results:A total of 152 patients undergoing DP met the inclusion criteria and were randomized. Due to a positive transection margin on frozen section analysis requiring further resection, seven patients were excluded post-randomization. Therefore, the final population comprised 72 patients in the TS arm and 73 patients in the US arm. Overall, 23 patients (16%) developed POPF. There were 19 grade B (14%) and 4 grade C fistulas (2%). The incidence of POPF was similar between groups (TS 12% vs. US 19%, p=0.191). Conclusion: the present randomized controlled trial of stapled transection using a PGA-reinforced triple-row stapler versus ultrasonic transection with HARMONIC energy devices in elective DP demonstrated no significant difference in POPF rates.
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DI, FABIO Francesco. "Implementation of Enhanced Recovery Programme for Pancreatic Resections: Lessons Learnt from Colorectal Surgery." Doctoral thesis, 2015. http://hdl.handle.net/11562/901810.

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Lo scopo di questa tesi è stato di valutare la fattibilità, la sicurezza ed i risultati di Enhanced Recovery Protocol (ERP) per la pancreaticoduodenectomia e la pancreatectomia distale laparoscopica in un ospedale universitario di riferimento in Regno Unito. Specificamente per la pancreatectomia distale laparoscopica, l'obiettivo era anche quello di analizzare l'impatto della chirurgia laparoscopica e di ERP sui costi. Nella Parte I, Capitolo 2, abbiamo valutato la fattibilità e la sicurezza di ERP per la pancreaticoduodenectomia, in assenza di simili programmi pubblicati nel Regno Unito. La parte II e' incentrata sulla pancreatectomia distale. Nel capitolo 3 abbiamo valutato l'impatto dell'introduzione dell' approccio laparoscopico per la pancreatectomia distale e il suo impatto sui risultati e costi. Nel capitolo 4 abbiamo valutato se l'attuazione di uno specifico ERP per la pancreatectomia distale laparoscopica avrebbe potuto migliorare ulteriormente i risultati e costi. Nella Parte III, capitolo 5 di questa tesi, si sintetizzano i risultati principali, si illustra qual e' lo stato dell'arte e si discutono prospettive future. Nella parte IV i protocolli di ERP attualmente adottati presso University Hospital di Southampton per la pancreaticoduodenectomia e la pancreatectomia distale laparoscopica sono illustrati.
The aim of this thesis was to assess the feasibility, safety and outcomes of ERP for pancreaticoduodenectomy and laparoscopic distal pancreatectomy in a tertiary referral UK university hospital. Specifically for laparoscopic distal pancreatectomy, the aim was also to analyze the impact of laparoscopic surgery and ERP on the cost economics. In Part I, Chapter 2, we evaluated the feasibility and safety of ERP for pancreaticoduodenectomy, at a time when no other evidence was available from the UK. Part II focuses on distal pancreatectomy. In Chapter 3 we assessed the impact of the introduction of the laparoscopic approach for distal pancreatectomy and its impact on outcomes and costs. In Chapter 4 we evaluated whether the implementation of a specific ERP for laparoscopic distal pancreatectomy could have improved further outcomes and costs. Part III, Chapter 5 of this thesis summarises the main finding, discusses where we stand and addresses future prospective. In Part IV the ERPs currently adopted at University Hospital Southampton for pancreaticoduodenectomy and laparoscopic distal pancreatectomy are illustrated.
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Mateus, Sofia Mahomed. "Trauma pancreático pediátrico : abordagem diagnóstica e terapêutica." Master's thesis, 2017. http://hdl.handle.net/10451/33546.

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2017
Este trabalho tem como objetivo realizar uma revisão bibliográfica dos últimos 10 anos sobre os métodos complementares de diagnóstico e a abordagem médica e cirúrgica do trauma pancreático (TP) infantil, cujo diagnóstico e tratamento ainda não é consensual. O TP isolado em crianças é raro, ocorrendo em menos de 2% de todas as lesões viscerais intraperitoneais e, está associada a outras lesões intraperitoneais, em 50% a 90% do casos. A morbilidade poderá atingir 60% e a mortalidade varia entre 3% e 17%. Os exames complementares de diagnóstico mais específicos são a TC e a CPRE/CPRM, que possibilitam identificar lesões que afetam o ducto pancreático, situações consideradas o preditor de falência de uma abordagem médica. As complicações associadas ao TP e que se desenvolvem maioritariamente quando existe uma lesão do ducto pancreático são: pancreatite necrotizante, hemorragia, abcessos, pseudoquisto, fístula entérica e a falência de órgão que leva a uma limitação da reserva fisiológica e requer tratamentos específicos. As lesões de baixo grau (I e II) são frequentemente submetidas a uma abordagem médica com sucesso, enquanto que as lesões de alto grau que envolvam a transecção do ducto pancreático (graus III-V) podem ser submetidas a abordagem cirúrgica ou médica, dependendo da estabilidade hemodinamica da criança. Existe evidência na literatura de algumas lesões de elevado grau em crianças tratadas com uma abordagem médica.
This study aims to review the last 10 years of diagnostic tools and medical and surgical approach to infantile pancreatic trauma, which diagnosis and treatment is not yet consensual. Isolated pancreatic trauma in children is rare, occurring in less than 2% of all intraperitoneal visceral lesions and is associated with other intraperitoneal lesions in 50% to 90% of cases. Morbidity reached 60% and mortality varies between 3% and 17%. The most specific complementary diagnostic methods are CT and ERCP / CPRM, since they can identify lesions that affect the pancreatic duct, considered as the predictor of failure of a medical approach. The main complications associated with pancreatic trauma when there is a pancreatic duct injury are: necrotizing pancreatitis, hemorrhage, abscesses, pseudocysts, enteric fistula and an organ failure that leads to a limitation of the physiological reserve, and requires specific treatments. The low-grade lesions (I and II) usually are submitted to medical approach successfully, while high-grade lesions involving pancreatic duct disruption (degrees III-V) may undergo a surgical or medical approach, depending on the hemodynamic stability of the child. There is evidence in the literature of some high-grade lesions in children treated with a medical approach.
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Частини книг з теми "Distal pancreatectomy"

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Denham, Woody, and R. Matthew Walsh. "Distal Pancreatectomy." In Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery, 1001–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-662-46546-2_101.

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Hamilton, Nicholas A., and William G. Hawkins. "Distal Pancreatectomy." In Illustrative Handbook of General Surgery, 715–28. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-24557-7_39.

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Chan, Carlos H. F. "Distal Pancreatectomy." In Operative Dictations in General and Vascular Surgery, 377–79. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44797-1_111.

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Bell, Richard H., Erwin W. Denham, and Ronald A. Hinder. "Distal Pancreatectomy." In Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery, 929–47. Berlin, Heidelberg: Springer Berlin Heidelberg, 2007. http://dx.doi.org/10.1007/978-3-540-68866-2_91.

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Misawa, Takeyuki. "Distal Pancreatectomy." In Reduced Port Laparoscopic Surgery, 283–91. Tokyo: Springer Japan, 2014. http://dx.doi.org/10.1007/978-4-431-54601-6_23.

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Salky, Barry. "Distal Pancreatectomy." In The SAGES Manual, 307–13. Berlin, Heidelberg: Springer Berlin Heidelberg, 1999. http://dx.doi.org/10.1007/978-3-642-88454-2_37.

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Scott-Conner, Carol E. H. "Distal Pancreatectomy." In Chassin’s Operative Strategy in General Surgery, 709–14. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/978-0-387-22532-6_80.

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Busick, Natisha. "Distal Pancreatectomy." In Operative Dictations in General and Vascular Surgery, 238–41. New York, NY: Springer New York, 2006. http://dx.doi.org/10.1007/978-1-4757-4167-4_65.

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Chassin, Jameson L. "Distal Pancreatectomy." In Operative Strategy in General Surgery, 643–48. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4757-4169-8_75.

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Khullar, Prashant. "Distal Pancreatectomy." In Operative Dictations in General and Vascular Surgery, 418–22. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4614-0451-4_86.

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Тези доповідей конференцій з теми "Distal pancreatectomy"

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Celebi, J., R. Croner, and H. Ptok. "Introducing robotic pancreas surgery through distal pancreatectomy." In DGVS Digital: BEST OF DGVS. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1716298.

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Feist, M., S. Knitter, L. Timmermann, M. Felsenstein, C. Benzing, W. Schöning, M. Schmelzle, J. Pratschke, and T. Malinka. "Learning curve of robotic distal pancreatectomy (DP) and pancreaticoduodenectomy (PD) - experience of a high-volume centre." In Viszeralmedizin 2021 Gemeinsame Jahrestagung Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS), Sektion Endoskopie der DGVS, Deutsche Gesellschaft für Allgemein und Viszeralchirurgie (DGAV). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1733595.

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Feist, M., S. Knitter, L. Timmermann, M. Felsenstein, C. Benzing, W. Schöning, M. Schmelzle, J. Pratschke, and T. Malinka. "Learning curve of robotic distal pancreatectomy (DP) and pancreaticoduodenectomy (PD) - experience of a high-volume centre." In Viszeralmedizin 2021 Gemeinsame Jahrestagung Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS), Sektion Endoskopie der DGVS, Deutsche Gesellschaft für Allgemein und Viszeralchirurgie (DGAV). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1733595.

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Ali, EA, M. Camus, S. Leblanc, F. Paye, P. Balladur, JC Vaillant, F. Menegaux, et al. "ENDOSCOPIC MANAGEMENT OF POSTOPERATIVE PANCREATIC FISTULAS (POPF) ARISING AFTER DISTAL PANCREATECTOMY OR ENUCLEATION: A TERTIARY CARE CENTER EXPERIENCE." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704230.

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Greener, T., and A. Dancour. "EUS-GUIDED RADIOFREQUENCY ABLATION OF RECURRENT PANCREATIC NON-FUNCTIONAL NEUROENDOCRINE TUMORS AFTER DISTAL PANCREATECTOMY IN A PATIENT WITH MEN1." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704500.

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Sobrado, L. F., G. C. C. Cotti, G. N. Namur, P. Averbach, C. F. Cirenza, A. R. Imperiale, C. S. R. Nahas, and S. C. Nahas. "Retossigmoidectomia com Excisão Total do Mesorreto e Pancreatectomia Distal com Esplenectomia Videolaparoscópica em Octogenário com Aneurisma de Aorta e Dois Tumores Primários." In 69a Congresso Brasileiro 27° Congresso Latinoamericano de Coloproctologia 2021. Thieme Revinter Publicações Ltda., 2021. http://dx.doi.org/10.1055/s-0041-1741734.

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Звіти організацій з теми "Distal pancreatectomy"

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Kooby, David. Laparoscopic Distal Pancreatectomy with Splenectomy. Touch Surgery Simulations, November 2021. http://dx.doi.org/10.18556/touchsurgery/2021.s0190.

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Li, Pengyu, Hanyu Zhang, Lixin Chen, Tiantong Liu, and Menghua Dai. Robotic versus laparoscopic distal pancreatectomy on perioperative outcomes: a systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2022. http://dx.doi.org/10.37766/inplasy2022.8.0041.

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Hang, Kuan, Junjie Xiong, and Kezhou Li. Spleen Vessels Preserving versus Warshaw’s Technique in Spleen Preserving Distal Pancreatectomy: A Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0108.

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