作者
Elias Karam, Marcus Hollenbach, Einas Abou Ali, Francesco Auriemma, Aiste Gulla, Christian Heise, Sara Regner, Sébastien Gaujoux, Jean M Regimbeau, Georg Kähler, Steffen Seyfried, Jean C Vaillant, Charles De Ponthaud, Alain Sauvanet, David Birnbaum, Nicolas Regenet, Stéphanie Truant, Enrique Pérez-Cuadrado-Robles, Matthieu Bruzzi, Renato M Lupinacci, Martin Brunel, Giulio Belfiori, Louise Barbier, Ephrem Salamé, Francois R Souche, Lilian Schwarz, Laura Maggino, Roberto Salvia, Johan Gagniére, Marco Del Chiaro, Galen Leung, Thilo Hackert, Tobias Kleemann, Woo H Paik, Karel Caca, Ana Dugic, Steffen Muehldorfer, Brigitte Schumacher, David Albers, on the Pancreas 2000 Research Group
发表日期
2023/5/1
期刊
Surgery
卷号
173
期号
5
页码范围
1254-1262
出版商
Mosby
简介
Background
Ampullary lesions are rare and can be locally treated either with endoscopic papillectomy or transduodenal surgical ampullectomy. Management of local recurrence after a first-line treatment has been poorly studied.
Methods
Patients with a local recurrence of an ampullary lesion initially treated with endoscopic papillectomy or transduodenal surgical ampullectomy were retrospectively included from a multi-institutional database (58 centers) between 2005 and 2018.
Results
A total of 103 patients were included, 21 (20.4%) treated with redo endoscopic papillectomy, 14 (13.6%) with transduodenal surgical ampullectomy, and 68 (66%) with pancreaticoduodenectomy. Redo endoscopic papillectomy had low morbidity with 4.8% (n = 1) severe to fatal complications and a R0 rate of 81% (n = 17). Transduodenal surgical ampullectomy and pancreaticoduodenectomy after a first procedure had a higher …
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E Karam, M Hollenbach, E Abou Ali, F Auriemma… - Surgery, 2023