Investigation of the Indications for Endoscopic Papillectomy and Transduodenal Ampullectomy for Ampullary Tumors.
adenocarcinoma
adenoma
ampullary tumors
endoscopic papillectomy
transduodenal ampullectomy
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
28 Sep 2021
28 Sep 2021
Historique:
received:
04
08
2021
revised:
23
09
2021
accepted:
27
09
2021
entrez:
13
10
2021
pubmed:
14
10
2021
medline:
14
10
2021
Statut:
epublish
Résumé
The standard treatment for ampullary tumors is pancreaticoduodenectomy. However, minimally invasive procedures such as endoscopic papillectomy (EP) and transduodenal ampullectomy (TDA) have recently gained popularity. Therefore, we aimed to evaluate the effectiveness of these minimally invasive procedures for ampullary tumors. We conducted a retrospective study of 42 patients who underwent either EP or TDA for ampullary tumors between June 2011 and November 2020. We found that in patients with significantly larger tumors, TDA was often selected. Patients who underwent EP had significantly shorter hospital stays. No significant differences were observed regarding procedural accidents, tumor size, and recurrence. No differences were observed regarding the treatment outcomes of EP and TDA except hospital stay. EP is less invasive and can be the initial choice of procedure. TDA is performed when EP is not technically feasible. No significant relationship was noted between tumor size and recurrence, and careful observation of the patient's postoperative course is required.
Identifiants
pubmed: 34640487
pii: jcm10194463
doi: 10.3390/jcm10194463
pmc: PMC8509540
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Dig Endosc. 2014 Sep;26(5):617-26
pubmed: 24533918
Ann Hepatobiliary Pancreat Surg. 2017 Aug;21(3):146-150
pubmed: 28990001
HPB (Oxford). 2013 Nov;15(11):829-38
pubmed: 23458317
Endoscopy. 2021 Apr;53(4):429-448
pubmed: 33728632
J Clin Med. 2020 Aug 18;9(8):
pubmed: 32824782
Bone Marrow Transplant. 2013 Mar;48(3):452-8
pubmed: 23208313
J Hepatobiliary Pancreat Surg. 2004;11(5):301-9
pubmed: 15549428
J Korean Surg Soc. 2011 Oct;81(4):250-6
pubmed: 22111080
Ann Surg. 2005 Jul;242(1):92-100
pubmed: 15973106
J Clin Med. 2020 Nov 10;9(11):
pubmed: 33182806
Surgery. 2004 Nov;136(5):994-1002
pubmed: 15523392
Gastrointest Endosc. 2007 Oct;66(4):701-7
pubmed: 17905011
World J Gastrointest Endosc. 2015 Aug 10;7(10):987-94
pubmed: 26265992
Am J Surg Pathol. 2009 May;33(5):691-704
pubmed: 19252434
Langenbecks Arch Surg. 2001 Apr;386(3):172-5
pubmed: 11382317
J Gastrointest Surg. 2013 Jun;17(6):1098-106
pubmed: 23553385