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Surgical outcomes are hampered after endoscopic ultrasonography-guided ethanol lavage and/or Taxol injection in cystic lesions of the pancreas

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Abstract
Backgrounds/Aims: Endoscopic ultrasonography-guided ethanol lavage and Taxol injection (EUS-ELTI) for pancreatic cystic lesions have been recently performed in some medical centers. The aim of this study was to optimize patient selection and analyze outcomes of patients who underwent surgeries after EUS-ELTI for pancreatic cystic lesions.
Methods: Among 310 patients who underwent EUS-ELTI between January 2007 and December 2014, 23 underwent surgeries after EUS-ELTI owing to incomplete treatment and/or adverse events. Surgical outcomes of patients who underwent surgeries after EUSELTI were evaluated. Clinical outcomes of patients who underwent surgeries after EUS-ELTI were then retrospectively compared with those of patients who underwent upfront surgery for left-sided pancreatic lesions without an EUS-ELTI procedure.
Results: The pathology revealed degenerated cysts in 12 patients, mucinous cyst neoplasms in five, neuroendocrine tumors in two, intraductal papillary mucinous neoplasm (IPMN) in one, solid pseudopapillary tumor in one, pancreatic ductal adenocarcinoma arising from an IPMN in one, and hepatoid carcinoma in one. Twelve patients underwent laparoscopic distal pancreatectomy and five patients underwent open distal pancreatectomy. When clinical outcomes were retrospectively compared between patients who underwent laparoscopic distal pancreatectomy after EUS-ELTI and those who did not receive an EUS-ELTI procedure, the spleen-preserving rate was 0% in the EUS-ELTI group and 61.7% (365/592) in the control group (p < 0.001).
Conclusions: Surgical outcomes are compromised after EUS-ELTI for cystic tumor of the pancreas. Further studies are needed to investigate the efficacy and safety of the EUS-ELTI procedure.
Author(s)
김성룡김송철송기병박광민황대욱이재훈신상현곽봉준이영주
Issued Date
2021
Type
Article
Keyword
Endoscopic ultrasonography-guided ethanol lavage and Taxol injectionMinimally invasive surgeryPancreatic cystic neoplasm
DOI
10.14701/ahbps.2021.25.3.342
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8100
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9850681&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Surgical%20outcomes%20are%20hampered%20after%20endoscopic%20ultrasonography-guided%20ethanol%20lavage%20and%2For%20Taxol%20injection%20in%20cystic%20lesions%20of%20the%20pancreas&amp;offset=0&amp;pcAvailability=true
Publisher
Annals of Hepato-Biliary-Pancreatic Surgery
Location
대한민국
Language
영어
ISSN
2508-5778
Citation Volume
25
Citation Number
3
Citation Start Page
342
Citation End Page
348
Appears in Collections:
Medicine > Medicine
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