Promotion of innovative theory of bridge closure in changing traditional surgical approaches for benign pancreatic diseases
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R735.9

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    Abstract:

    Benign tumors of the pancreas are not rare, and most of them require surgical treatment, of which enucleation or local resection is the ideal procedure. However, for lesions of relatively large size or very close to the main pancreatic duct, or when there is intraoperative injury of the main pancreatic duct, then segmental resection, pancreaticojejunostomy or pancreaticoduodenectomy are recommended by most clinical guidelines. The above-mentioned procedures for benign conditions of the pancreas will result in greater intentional surgical trauma, excessive pancreatic resection, and unavoidable anatomical and physiological changes. The authors performed an investigative clinical research in a new procedure for benign pancreatic diseases using an innovative theory of bridge closure. The procedure, chiefly based on main pancreatic duct bridging repair and end-to-end pancreatic anastomosis reconstruction, plastically repairs the defect of the pancreas after excision of the benign lesion and then restores the normal anatomy. Preliminary clinical results have verified the feasibility and safety of this theory and technique, which is hopeful to correct the traditional misunderstanding that the main pancreatic duct is unreconstructable, and completely change the surgical treatment modalities for benign pancreatic diseases.

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LIU Rong, ZHAO Guodong. Promotion of innovative theory of bridge closure in changing traditional surgical approaches for benign pancreatic diseases[J]. Chin J Gen Surg,2018,27(3):263-268.
DOI:10.3978/j. issn.1005-6947.2018.03.001

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History
  • Received:January 20,2018
  • Revised:January 28,2018
  • Adopted:
  • Online: March 15,2018
  • Published: