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Extent of Surgery and Implications of Transection Margin Status after Resection of IPMNs
المؤلفون المشاركون
Falconi, Massimo
Scopelliti, Filippo
Paini, Marina
Baldoni, Andrea
Belfiori, Giulio
Manzoni, Alberto
Partelli, Stefano
Crippa, Stefano
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-09-03
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Appropriate surgical strategies for management of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are a matter of debate.
Preoperative and intraoperative evaluation of malignant potential of IPMN and of patient’s comorbidities is of paramount importance to balance potential complications of surgery with tumors’ risk of being or becoming malignant; the decision about the extent of pancreatic resection and the eventual total pancreatectomy needs to be determined on individual basis.
The analysis of frozen-section margin of pancreas during operation is mandatory.
The goal should be the complete resection of IPMN reaching negative margin, although there is still no agreed definition of “negative margin.” Of note, the presence of deepithelization is often wrongly interpreted as absence of neoplasia.
Management of resection margin status and stratification of surveillance of the remnant pancreas, based on characteristics of primary tumour, are of crucial importance in the management of IPMNs in order to decrease the risk of tumor recurrence after resection.
Although risk of local and distant recurrence for invasive IPMNs is increased even in case of total pancreatectomy, also local recurrence after complete resection of noninvasive IPMNs is not negligible.
Therefore, a long-term/life-time follow-up monitoring is of paramount importance to detect eventual recurrences.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Paini, Marina& Crippa, Stefano& Scopelliti, Filippo& Baldoni, Andrea& Manzoni, Alberto& Belfiori, Giulio…[et al.]. 2014. Extent of Surgery and Implications of Transection Margin Status after Resection of IPMNs. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1035878
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Paini, Marina…[et al.]. Extent of Surgery and Implications of Transection Margin Status after Resection of IPMNs. Gastroenterology Research and Practice No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-1035878
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Paini, Marina& Crippa, Stefano& Scopelliti, Filippo& Baldoni, Andrea& Manzoni, Alberto& Belfiori, Giulio…[et al.]. Extent of Surgery and Implications of Transection Margin Status after Resection of IPMNs. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1035878
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1035878
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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