Cirugía Segura para tumores quísticos de páncreas
The pancreas is an important digestive organ located in the upper abdomen. There are several types of pancreatic cysts. Those that contain mucin can cause cancer. These cysts connect with the pancreatic duct and their fluid usually has a high amount of digestive pancreatic enzymes. Cysts can occur i...
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| Format: | Article |
| Language: | Spanish |
| Published: |
2020
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| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8878569 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 4, Nº. 4, 2020 (Ejemplar dedicado a: Noviembre (Especial)), pags. 459-470 |
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| Summary: |
The pancreas is an important digestive organ located in the upper abdomen. There are several types of pancreatic cysts. Those that contain mucin can cause cancer. These cysts connect with the pancreatic duct and their fluid usually has a high amount of digestive pancreatic enzymes. Cysts can occur in both men and women and are more common in people over 50 years of age. Cysts that are small and stable in size and have no worrisome features have a low risk of developing into cancers. We have set out to review the literature on surgical interventions performed on the organ. Most patients do not present any discomfort, diagnosing the cyst incidentally during an imaging test. If there are symptoms, they are very var-ied. The most frequent are upper abdominal pain and vomiting or jaundice, secondary to the compression of other organs by the cyst, mainly the stomach, duodenum and bile ducts. In most cases, the pseudocyst will resolve with supportive mea-sures. Size and duration are only predictors for the spontaneous resolution of the pseudocyst Percutaneous drainage is recommended as a temporary measure for those patients who are not candidates for surgery The three surgeries available for the management of the pseudocyst are internal drainage, external drainage and pancreatic resection The preferred technique is splenic-sparing resection. Section of the pancreas is safe with mechanical vascular sutures. Laparoscopic splenic-sparing distal pancreatectomy is a safe technique for treating both inflammatory and cystic tumors of the pancreas. |
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