Clinical Application of Modified Beger Operation

Liu-zheng LI; Wei-wen SHEN; Xue WANG; Lei-sheng XU; Jia-wei FENG; Jun-feng WANG

doi:10.12259/j.issn.2095-610X.S20210231

Volume 42 Issue 2

Mar. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(2): 113-117

Liu-zheng LI, Wei-wen SHEN, Xue WANG, Lei-sheng XU, Jia-wei FENG, Jun-feng WANG. Clinical Application of Modified Beger Operation[J]. Journal of Kunming Medical University, 2021, 42(2): 113-117. doi: 10.12259/j.issn.2095-610X.S20210231

Citation:

Liu-zheng LI, Wei-wen SHEN, Xue WANG, Lei-sheng XU, Jia-wei FENG, Jun-feng WANG. Clinical Application of Modified Beger Operation[J]. Journal of Kunming Medical University, 2021, 42(2): 113-117. doi: 10.12259/j.issn.2095-610X.S20210231

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Clinical Application of Modified Beger Operation

doi: 10.12259/j.issn.2095-610X.S20210231

1.
Dept. of Hepatobiliary Surgery，Lincang people’s Hospital，Lincang Yunnan 677000
2.
Dept. of Hepatobiliary Surgery，First people’s Hospital of Yunnan Province，Kunming Yunnan 650034，China

Received Date: 2020-11-16
Publish Date: 2021-03-05

Abstract

Abstract

Objective To investigate the clinical application value of modified Beger operation. Methods The clinical data of 59 patients with chronic pancreatitis, benign and low-grade malignant tumor of pancreatic head treated by surgery from January 2014 to January 2020 were retrospectively analyzed, Among them, there were 49 cases of mass type chronic pancreatitis in the head of pancreas, 3 cases of cyst with pancreatic duct stones, 2 cases of solid pseudopapillary tumor, 2 cases of intraductal papillary mucinous tumor, 2 cases of serous cystadenoma and 1 case of mucinous cystadenoma. They were randomly divided into modified beger operation group and pancreatoduodenectomy （PD） group. Among them, 31 cases underwent modified beger operation and 28 cases underwent pancreaticoduodenectomy （PD）. Results For patients in the modified beger operation group and PD group, the operation time, intraoperative bleeding, postoperative hospital stay, incidence of postoperative complications and pain relief efficiency were（231.4 ± 42.3/268.1 ± 52.5）min, （405.5 ± 64.1 / 449.9 ± 61.2）mL, （17.1 ± 3.4 / 28.5 ± 4.1）d, （12.9 / 42.9）% and （89.7 / 88.9）%, respectively. 56 cases （29 cases in Beger group and 27 cases in PD group） were followed up for 6 months to 5 years without recurrence of tumor or stone. Conclusion The modified Beger operation has the advantages of less pancreatic tissue resection, less surgical trauma, safer operation, faster recovery, more accurate relief of intractable abdominal pain, and significant improvement of postoperative quality of life and nutritional status of patients.
- Chronic pancreatitis,
- Duodenal preserving pancreatectomy,
- Pancreaticoduodenectomy

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References(13)

References

[1]	庄岩,杨尹默. Beger手术—回顾与展望[J]. 中华肝脏外科手术学电子杂志,2017,6(1):6-9. doi: 10.3877/cma.j.issn.2095-3232.2017.01.002
[2]	Beger H G,Mayer B,Rau B M. Parenchyma-sparing,limited pancreatic head resection for benign tumors and low-risk periampullary cancera systematic review[J]. J Gastrointest Surg,2016,20(1):206-217. doi: 10.1007/s11605-015-2981-2
[3]	崔铭,廖泉. 胰腺假性囊肿治疗方式选择[J]. 中华肝脏外科手术学电子杂志,2016,5(6):355-357. doi: 10.3877/cma.j.issn.2095-3232.2016.06.004
[4]	Beger H G,Krautzberger W,Bittner R,et al. Duodenum-preserving resection of the head of the pancreas in patients with severe chronic pancreatitis[J]. Surgery,1985,97(4):467-473.
[5]	Beger H G,Nakao A,Mayer B,et al. Duodenum- preserving total and partial pancreatic head resection for benign tumors-systematic review and meta-analysis[J]. Pancreatology,2015,15(2):167-178. doi: 10.1016/j.pan.2015.01.009
[6]	Beger H G,Siech M,Poch B,et al. Limited surgery for benign tumours of the pancreas:A systematic review[J]. World J Surg,2015,39(6):1557-1566. doi: 10.1007/s00268-015-2976-x
[7]	刘万伟,李恩亮,邬林. Beger手术治疗胰头部浆液性微囊腺瘤1例[J]. 南昌大学学报医学版,2016,56(2):102-103.
[8]	王坚,王伟. 胆胰肠结合部疾病的诊治策略[J]. 世界华人消化杂志,2018,26(22):1329-1333.
[9]	吴艳艳译. 《2019年国际共识指南:慢性胰腺炎的手术治疗及干预时机》摘译[J]. 临床肝胆病杂志,2020,36(4):764-765. doi: 10.3969/j.issn.1001-5256.2020.04.010
[10]	Majumder S,Chari S T. Chronic pancreatitis[J]. Lancet,2016,387(10031):1957-1966. doi: 10.1016/S0140-6736(16)00097-0
[11]	程坤,孙永辉,林海. 保留胰头的十二指肠切除术与胰十二指肠切除术的远期临床疗效比较:单中心经验分析[J]. 中国普外基础与临床杂志,2020,27(5):1-5.
[12]	周松强,田毅峰,赖智德. 保留十二指肠胰头切除术的临床应用探讨[J]. 临床肝胆病杂志,2018,34(1):157-159. doi: 10.3969/j.issn.1001-5256.2018.01.032
[13]	刘嘉哲,黄新余. 保留十二指肠胰头切除术[J]. 肝胆胰外科杂志,2010,22(4):342-348.

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