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Laparoscopic radical antegrade modular pancreatosplenectomy (RAMPS) for cystadenocarcinoma of the pancreas
Esplenopancreatectomía radical modular anterógrada (RAMPS) laparoscópica por cistoadenocarcinoma de páncreas
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Hepatobiliopancreática, Hospital Universitari Mutua Terrassa, Terrassa, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Cirugía Hepatobiliopancreática, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Esplenopancreatectomía radical modular anterógrada (RAMPS) laparoscópica por cistoadenocarcinoma de páncreas" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 847 "Ancho" => 1500 "Tamanyo" => 320510 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The patient is a 59-year-old female with no history of interest who described symptoms of postprandial fullness and weight loss. CT scan revealed a well-defined 9-cm heterogeneous lesion dependent on the body/tail of the pancreas. The initial diagnosis was a degenerated cystic lesion, compatible with mucinous cystadenocarcinoma.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We performed laparoscopic radical antegrade modular pancreatosplenectomy (RAMPS), and the left Gerota’s fascia and prerenal space were included in the resection plane.</p><p id="par0015" class="elsevierStylePara elsevierViewall">During the postoperative period, the patient presented a pancreatic fistula, which was treated with percutaneous drainage (ISGPS grade B).</p><p id="par0020" class="elsevierStylePara elsevierViewall">The pathology report confirmed a 10-cm mucinous cystadenocarcinoma of the pancreas with free margins and no lymph node involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">This technique is indicated in malignant lesions of the body and tail of the pancreas. It is associated with: lower rate of R1 resections, wider circumferential resection margins, and more extensive regional lymphadenectomy. In selected cases and performed by expert teams, its oncologic results are comparable to those of open surgery.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">No funding was received to conduct this study.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0045" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0020" ] ] ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 847 "Ancho" => 1500 "Tamanyo" => 320510 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 78418568 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010100000009/v1_202309181301/S2173507723001011/v1_202309181301/en/main.assets" "Apartado" => array:4 [ "identificador" => "74681" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Video of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010100000009/v1_202309181301/S2173507723001011/v1_202309181301/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507723001011?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
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| 2024 October | 7 | 2 | 9 |
| 2024 September | 26 | 6 | 32 |
