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dc.contributor.author | Ielpo, Benedetto | es_ES |
dc.contributor.author | Pueyo-Périz, Eva M. | es_ES |
dc.contributor.author | Radosevic, Aleksandar | es_ES |
dc.contributor.author | Andaluz, Anna | es_ES |
dc.contributor.author | Berjano, Enrique | es_ES |
dc.contributor.author | Grande, Luis | es_ES |
dc.contributor.author | Sánchez-Velázquez, Patricia | es_ES |
dc.contributor.author | Burdío, Fernando | es_ES |
dc.date.accessioned | 2021-11-05T14:07:57Z | |
dc.date.available | 2021-11-05T14:07:57Z | |
dc.date.issued | 2021-01-01 | es_ES |
dc.identifier.issn | 0265-6736 | es_ES |
dc.identifier.uri | http://hdl.handle.net/10251/176308 | |
dc.description.abstract | [EN] Purpose Multiple attempts have been made to manage the pancreatic stump and the pancreatic duct in order to reduce the rate of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD), however radiofrequency-based technologies could help to achieve this goal. Previous encouraging clinical and experimental results support the use of endoluminal thermal ablation (ETHA) of the main pancreatic duct to reduce pancreatic exocrine secretion and hence POPF. We here describe our initial clinical experience with ETHA of the main pancreatic duct in two cases at high risk of POPF. Methods Two cases underwent PD for malignancy with a high risk of POPF (adenocarcinoma, obese patients, surgical difficulties with heavy intraoperative blood loss, soft pancreas or walled-off pancreatitis and a tight small pancreatic main duct). In both cases, ETHA of the main pancreatic duct was conducted intraoperatively just before Blumgart-type pancreatic-jejunal anastomosis using a ClosureFast catheter (Medtronic, Mansfield, MA, USA) normally used for varicose vein treatment (therefore an off-label use). Results Although a clear radiological POPF was detected in the second case, the clinical postoperative course in both cases was uneventful. Little pancreatic fluid collected in the abdominal drainage with low levels of amylase enzyme, confirming low exocrine pancreatic function. No other procedure-related complications were detected. Conclusion Endoluminal thermal ablation of the main pancreatic duct may be a feasible and safe technique to reduce the adverse effects of POPF after PD. | es_ES |
dc.description.sponsorship | This work was supported by the Spanish Ministerio de Ciencia, Innovacion y Universidades under "Programa Estatal de IthornDthorni Orientada a los Retos de la Sociedad", Grants RTI2018-094357-B-C21 and RTI2018-094357-B-C22. | es_ES |
dc.language | Inglés | es_ES |
dc.publisher | Taylor & Francis | es_ES |
dc.relation.ispartof | International Journal of Hyperthermia | es_ES |
dc.rights | Reconocimiento (by) | es_ES |
dc.subject | Endoluminal ablation | es_ES |
dc.subject | Pancreatic duct | es_ES |
dc.subject | Pancreatic fistula | es_ES |
dc.subject | Pancreaticoduodenectomy | es_ES |
dc.subject | Thermal ablation | es_ES |
dc.subject.classification | TECNOLOGIA ELECTRONICA | es_ES |
dc.title | Clinical case report: endoluminal thermal ablation of main pancreatic duct for patients at high risk of postoperative pancreatic fistula after pancreaticoduodenectomy | es_ES |
dc.type | Artículo | es_ES |
dc.identifier.doi | 10.1080/02656736.2021.1917703 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-094357-B-C21/ES/MODELADO Y EXPERIMENTACION PARA TERAPIAS ABLATIVAS INNOVADORAS/ | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-094357-B-C22/ES/INVESTIGACION QUIRURGICA PARA TERAPIAS ABLATIVAS INNOVADORAS/ | es_ES |
dc.rights.accessRights | Abierto | es_ES |
dc.contributor.affiliation | Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica | es_ES |
dc.description.bibliographicCitation | Ielpo, B.; Pueyo-Périz, EM.; Radosevic, A.; Andaluz, A.; Berjano, E.; Grande, L.; Sánchez-Velázquez, P.... (2021). Clinical case report: endoluminal thermal ablation of main pancreatic duct for patients at high risk of postoperative pancreatic fistula after pancreaticoduodenectomy. International Journal of Hyperthermia. 38(1):755-759. https://doi.org/10.1080/02656736.2021.1917703 | es_ES |
dc.description.accrualMethod | S | es_ES |
dc.relation.publisherversion | https://doi.org/10.1080/02656736.2021.1917703 | es_ES |
dc.description.upvformatpinicio | 755 | es_ES |
dc.description.upvformatpfin | 759 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | es_ES |
dc.description.volume | 38 | es_ES |
dc.description.issue | 1 | es_ES |
dc.identifier.pmid | 33941013 | es_ES |
dc.relation.pasarela | S\436694 | es_ES |
dc.contributor.funder | AGENCIA ESTATAL DE INVESTIGACION | es_ES |
dc.contributor.funder | Agencia Estatal de Investigación | es_ES |