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Enucleation of a pancreatic neuroendocrine tumor complicated by a postoperative fistula

B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2014;14(02). URL: http://websurg.com/doi/vd01en4062

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  • 2014-02-05
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As a parenchyma-sparing procedure, enucleation can preserve normal pancreatic parenchyma and reduce the risk of endocrine and exocrine insufficiency. It has been proposed to be an alternative surgical procedure in neuroendocrine tumors. However, the postoperative rate of postoperative pancreatic fistula is significant, reported in up to 60% of patients. Some studies have demonstrated that a distance less than or equal to 2mm between the tumor and the main pancreatic duct is a risk factor for the development of fistula.