Operative management of islet-cell tumors arising in the head of the pancreas.

  title={Operative management of islet-cell tumors arising in the head of the pancreas.},
  author={Byung Jun Park and H. Richard Alexander and Steven K. Libutti and Jin-yang Huang and D Royalty and Monica C. Skarulis and Robert Thomas Jensen and Phil Gorden and John L. Doppman and Thomas H. Shawker and Douglas L. Fraker and Jeffrey A. Norton and David L. Bartlett},
  volume={124 6},
  pages={1056-61; discussion 1061-2}
BACKGROUND Pancreatic islet cell tumors (ICTs) can be treated by enucleation or pancreatic resection. We reviewed our experience with ICTs in the head of the pancreas to define indications for enucleation versus pancreaticoduodenectomy. METHODS Between January 1982 and December 1997, 48 patients underwent surgical resection for presumed ICTs of the pancreatic head. Of these, 18 were found on pathologic examination to be disease in a lymph node. Thirty patients had 32 true pancreatic head ICTs… CONTINUE READING


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