Surgical management of @entity1 with XXXX : Result of 292 cases in a single institution.

@entity1 @entity3018 @entity9608 @entity5 @entity190 @entity3472
BACKGROUND: @entity9608 is rare @entity5 with an incidence of approximately four cases per million per year. There are few large sample, single-center series that focus on the surgical management strategy of @entity9608 . @entity1 AND METHODS: Medical records of @entity1 diagnosed as @entity9608 from 1990 to 2010 in Peking Union Medical College Hospital were reviewed retrospectively. Clinical data were collected and statistically analyzed. RESULTS: A total of 328 @entity1 were diagnosed with @entity9608 ; 292 of them underwent 320 operations, which included 46 laparoscopic surgeries. @entity5 enucleation was the most common operative procedure. @entity5 were found in 30 cases; 17 cases were @entity3018 . Thirteen @entity1 with @entity5 underwent @entity5 resection. @entity3472 ( @entity3472 ) was the most frequent complication, and the incidence of clinical PFs (Grades B and C) was 14.4%. There was no significant statistical difference between open and laparoscopic surgery in @entity190 , operative time, and complications. @entity5 were noted in 11 @entity1 . CONCLUSION: Surgery is the best treatment of choice for @entity9608 @entity1 . Surgical approach depends on @entity5 size, location, and its pathological characters. Laparoscopic management of @entity9608 is feasible and safe for @entity5 located in the body or tail of the pancreas. Open surgery combined with intraoperative ultrasonography is recommended to avoid omission of lesions in @entity1 with @entity9608 . An aggressive surgical approach is indicated for @entity5 @entity1 .
