DerChirurg.70680874.ger.abstr-passage-0
abstract
Zusammenfassung . Bei Patienten mit chronischer Pankreatitis ist der entzuendliche Prozess im Pankreaskopf haeufig Schrittmacher der Krankheit ; der entzuendliche Pankreaskopftumor verursacht das Schmerzsyndrom und fuehrt bei der Haelfte der Patienten zu lokalen Komplikationen . Die duodenumerhaltende Pankreaskopfresektion bietet gegenueber den in der Vergangenheit praktizierten Verfahren den Vorteil der Erhaltung von Magen , Duodenum und Gallenwegen sowie der Erhaltung der Insulinsekretionskapazitaet . Die duodenumerhaltende Pankreaskopfresektion entspricht einer minimalisierten subtotalen Resektion des Pankreaskopfes . Bei 380 Patienten war die Krankenhausletalitaet 0,8 % , die Reoperationsfrequenz 5,3 % . Die mittlere postoperative Krankenhausliegezeit war 13,9 Tage . Fruehpostoperativ war der Glucosestoffwechsel bei 2 % verschlechtert und bei 9 % verbessert . Nach einer medianen Nachbeobachtungszeit von 6 Jahren sind 88 % der Patienten vollstaendig schmerzfrei bzw. haben selten Bauchschmerzen ; 63 % sind wieder voll berufstaetig ; die Spaetletalitaet betraegt 8,9 % . Nur 10 % der Patienten erlitten weitere Pankreatitisschuebe . Der entscheidende Vorteil der duodenumerhaltenden Pankreaskopfresektion besteht in der Erhaltung der endokrinen Funktion der Bauchspeicheldruese bei Schonung der Pankreasnachbarorgane .
DerChirurg.70680874.ger.abstr-s2-r1-t8.1-t5.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r2-t3.1-t12.1
location_of
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r3-t3.1-t8.1
location_of
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r4-t7.1-t2.1
location_of
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r5-t8.1-t10.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r6-t6.1-t10.1
location_of
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r7-t12.1-t9.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-r8-t2.1-t1.1
occurs_in
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s2-r9-t3.1-t7.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s2-r10-t12.1-t1.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s2-r11-t4.1-t8.1
location_of
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r12-t9.1-t8.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r13-t3.1-t10.1
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DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r14-t5.1-t11.1
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DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-t11
DerChirurg.70680874.ger.abstr-s2-r15-t2.1-t12.1
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DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r16-t9.1-t5.1
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DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r17-t4.1-t6.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-r18-t12.1-t10.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r19-t3.1-t5.1
location_of
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r20-t9.1-t2.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r21-t6.1-t8.1
location_of
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r22-t3.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s2-r23-t5.1-t8.1
degree_of
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r24-t6.1-t7.1
adjacent_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s2-r25-t4.1-t5.1
location_of
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r26-t5.1-t9.1
associated_with
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-r27-t7.1-t8.1
location_of
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r28-t8.1-t11.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-t11
DerChirurg.70680874.ger.abstr-s2-r29-t7.1-t12.1
location_of
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r30-t5.1-t12.1
degree_of
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r31-t10.1-t8.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r32-t8.1-t1.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s2-r33-t12.1-t5.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r34-t10.1-t11.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-t11
DerChirurg.70680874.ger.abstr-s2-r35-t4.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-r36-t3.1-t2.1
location_of
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r37-t7.1-t6.1
adjacent_to
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-r38-t4.1-t12.1
location_of
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r39-t2.1-t8.1
degree_of
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r40-t6.1-t5.1
location_of
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r41-t12.1-t8.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-r42-t7.1-t10.1
location_of
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r43-t4.1-t2.1
location_of
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r44-t6.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s2-r45-t10.1-t9.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-r46-t12.1-t11.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-t11
DerChirurg.70680874.ger.abstr-s2-r47-t7.1-t5.1
location_of
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s2-r48-t8.1-t12.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r49-t4.1-t10.1
location_of
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r50-t5.1-t1.1
occurs_in
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s2-r51-t8.1-t2.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r52-t10.1-t12.1
degree_of
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r53-t6.1-t12.1
location_of
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r54-t9.1-t12.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-t12
DerChirurg.70680874.ger.abstr-s2-r55-t7.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s2-t7
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s2-r56-t2.1-t9.1
associated_with
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-r57-t2.1-t11.1
occurs_in
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-t11
DerChirurg.70680874.ger.abstr-s2-r58-t6.1-t2.1
location_of
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s2-r59-t9.1-t10.1
associated_with
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DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s2-r60-t8.1-t9.1
associated_with
DerChirurg.70680874.ger.abstr-s2-t8
DerChirurg.70680874.ger.abstr-s2-t9
DerChirurg.70680874.ger.abstr-s2-r61-t10.1-t1.1
occurs_in
DerChirurg.70680874.ger.abstr-s2-t10
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s3-r1-t2.1-t5.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s3-r2-t2.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s3-r3-t2.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s3-r4-t6.1-t5.1
connected_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s3-t5
DerChirurg.70680874.ger.abstr-s3-r5-t2.1-t1.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s3-r6-t6.1-t4.1
connected_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s3-r7-t6.1-t3.1
connected_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s3-r8-t6.1-t1.1
connected_to
DerChirurg.70680874.ger.abstr-s3-t6
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s4-r1-t1.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s4-r2-t1.1-t2.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s4-r3-t2.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s4-r4-t3.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s4-r5-t2.1-t1.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s4-r6-t3.1-t2.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s4-r7-t4.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s4-r8-t4.1-t1.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s5-r1-t1.1-t2.1
uses
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s5-r2-t2.1-t1.1
manages
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s7-r1-t1.1-t2.1
affects
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s7-r2-t2.1-t1.1
produces
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-r1-t2.1-t4.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-r2-t1.1-t2.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-r3-t2.1-t3.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-r4-t2.1-t1.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-t1
DerChirurg.70680874.ger.abstr-s10-r5-t3.1-t2.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t3
DerChirurg.70680874.ger.abstr-s10-t2
DerChirurg.70680874.ger.abstr-s10-r6-t4.1-t2.1
adjacent_to
DerChirurg.70680874.ger.abstr-s10-t4
DerChirurg.70680874.ger.abstr-s10-t2