Total pancreatectomy with islet autotransplantation: an overview

被引:37
作者
Ong, Seok L. [1 ]
Gravante, Gianpiero [1 ]
Pollard, Cristina A. [1 ]
Webb, M'Balu A. [1 ]
Illouz, Severine [1 ]
Dennison, Ashley R. [1 ]
机构
[1] Leicester Gen Hosp, Dept Hepatobiliary & Pancreat Surg, Leicester LE5 4PW, Leics, England
关键词
total pancreatectomy; islet; autotransplantation;
D O I
10.1111/j.1477-2574.2009.00113.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pain control is one of the most challenging aspects in the management of chronic pancreatitis. Total pancreatectomy can successfully relieve the intractable abdominal pain in these patients but will inevitably result in insulin-dependent diabetes. Islet autotransplantation aims to preserve, as far as possible, the insulin secretory function of the islet cell mass thereby reducing (or even removing) the requirement for exogenous insulin administration after a total pancreactomy. Despite the relatively small number of centres able to perform these procedures, there are important technical variations in the details of their approaches. The aim of this review is to provide details of the current surgical practice for total pancreatectomy combined with islet autotransplantation, and outline the potential advantages and disadvantages of the variations adopted in each centre.
引用
收藏
页码:613 / 621
页数:9
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