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Abstract:
BACKGROUND:While distal pancreatectomy with splenectomy (DPS) is the reference treatment for pancreatic body and tail neoplasia, oncological benefits of splenectomy have never been demonstrated. Involvement of spleen, splenic hilum and lymph nodes (LN) was therefore assessed on DPS specimens. METHODS:All DPS pancreatic neoplasia specimens obtained in 2 Brussels University Hospitals over 15 years (2004-2018) were reviewed retrospectively, using both preoperative radiological imaging and postoperative pathological analyses of splenic parenchyma, hilar tissue and LN. RESULTS:The total of 130 DPS specimens included 85 adenocarcinomas, 37 neuroendocrine neoplasms and 8 other carcinomas. Tumours involved the pancreatic body without tail invasion for 59 specimens (B, Body group), and the pancreatic tail with/without body for 71 (T, Tail group). At pathology, direct splenic and/or hilar involvement was observed in 13 T specimens (13/71, 18.3%), but in none belonging to the Body group. The observed numbers of splenic hilar LN (only reported in 49/130 patients) were low, only one T adenocarcinoma had positive splenic LN in addition to direct splenic involvement. CONCLUSION:Splenectomy remains justified during pancreatectomy for neoplasia involving the pancreatic tail, but in case of pancreatic body tumours, its benefits should be questioned in the light of absent splenic LN/parenchymal involvement.
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最新影响因子:3.842 | 期刊ISSN:1365-182X | CiteScore:2.87 |
出版周期: | 是否OA:YES | 出版年份:0 |
期刊官方网址:https://www.elsevier.com/journals/hpb/1365-182X?generatepdf=true
自引率:9.40% | 研究方向:GASTROENTEROLOGY & HEPATOLOGY-SURGERY |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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HPB is an international forum for clinical, scientific and educational communication. Twelve issues a year bring the reader leading articles, expert reviews, original articles, images, editorials, and reader correspondence encompassing all aspects of benign and malignant hepatobiliary disease and its management. HPB features relevant aspects of clinical and translational research and practice. Specific areas of interest include HPB diseases encountered globally by clinical practitioners in this specialist field of gastrointestinal surgery. The journal addresses the challenges faced in the management of cancer involving the liver, biliary system and pancreas. While surgical oncology represents a large part of HPB practice, submission of manuscripts relating to liver and pancreas transplantation, the treatment of benign conditions such as acute and chronic pancreatitis, and those relating to hepatobiliary infection and inflammation are also welcomed. There will be a focus on developing a multidisciplinary approach to diagnosis and treatment with endoscopic and laparoscopic approaches, radiological interventions and surgical techniques being strongly represented. HPB welcomes submission of manuscripts in all these areas and in scientific focused research that has clear clinical relevance to HPB surgical practice. HPB aims to help its readers - surgeons, physicians, radiologists and basic scientists - to develop their knowledge and practice. HPB will be of interest to specialists involved in the management of hepatobiliary and pancreatic disease however will also inform those working in related fields. Abstracted and Indexed in: MEDLINE® EMBASE PubMed Science Citation Index Expanded Academic Search (EBSCO) HPB is owned by the International Hepato-Pancreato-Biliary Association (IHPBA) and is also the official Journal of the American Hepato-Pancreato-Biliary Association (AHPBA), the Asian-Pacific Hepato Pancreatic Biliary Association (A-PHPBA) and the European-African Hepato-Pancreatic Biliary Association (E-AHPBA). Specific areas of interest include HPB diseases encountered globally by clinical practitioners in this specialist field of gastrointestinal surgery. The journal addresses the challenges faced in the management of cancer involving the liver, biliary system and pancreas. While surgical oncology represents a large part of HPB practice, submission of manuscripts relating to liver and pancreas transplantation, the treatment of benign conditions such as acute and chronic pancreatitis, and those relating to hepatobiliary infection and inflammation are also welcomed. There will be a focus on developing a multidisciplinary approach to diagnosis and treatment with endoscopic and laparoscopic approaches, radiological interventions and surgical techniques being strongly represented. HPB welcomes submission of manuscripts in all these areas and in scientific focused research that has clear clinical relevance to HPB surgical practice. HPB aims to help its readers - surgeons, physicians, radiologists and basic scientists - to develop their knowledge and practice. HPB will be of interest to specialists involved in the management of hepatobiliary and pancreatic disease however will also inform those working in related fields.
HPB是一个国际性的临床、科学和教育交流论坛。 每年有十二期,包括良性和恶性肝胆疾病及其治疗的所有方面的读者导论、专家评论、原始文章、图片、社论和读者通信。HPB具有临床和转化研究和实践的相关方面。 感兴趣的特定领域包括临床从业者在全球胃肠外科专业领域遇到的HPB疾病。该杂志阐述了在涉及肝脏、胆道系统和胰腺的癌症治疗中所面临的挑战。虽然外科肿瘤学是HPB实践的重要组成部分,但也欢迎提交有关肝和胰腺移植的手稿、治疗诸如急性和慢性胰腺炎等良性疾病以及与肝胆感染和炎症有关的手稿。将重点发展一个多学科的方法来诊断和治疗内镜和腹腔镜的方法,放射干预和外科技术是强有力的代表。HPB欢迎在所有这些领域和以科学为中心的研究中提交手稿,这些研究与HPB外科实践具有明显的临床相关性。 HPB旨在帮助读者——外科医生、医生、放射科医生和基础科学家——发展他们的知识和实践。参与肝胆胰疾病管理的专家将对HPB感兴趣,但也将通知相关领域的工作人员。 摘要和索引信息: MEDLINE® 埃博斯 PubMed 科学引文索引扩展 学术搜索(EBSCO) HPB由国际肝胆胰协会(IHPBA)所有,也是美国肝胆胰协会(AHPBA)、亚太肝胆胰协会(A-PHPBA)和欧洲-非洲肝胆胰协会(E-AHPBA)的官方刊物。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 3区 SURGERY (外科) 2区 |
40/80 40/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
141 | 119 | 22 |
引文计数(2018)
文献(2015-2017)
1370次引用
478篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Hepatology
|
#18/59
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2 |
大类(学科):Medicine
小类(学科):Gastroenterology
|
#27/128
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审稿时间: 6个月内 接受率: 比较困难(25%命中)
影响因子:10.17
ISSN:0039-2499
研究方向:医学-临床神经学
影响因子:8.632
ISSN:2287-6391
研究方向:CLINICAL NEUROLOGYPERIPHERAL VASCULAR DISE-PERIPHE
影响因子:3.104
ISSN:1015-9770
研究方向:医学-临床神经学
影响因子:3.541
ISSN:1479-1641
研究方向:ENDOCRINOLOGY & METABOLISM-PERIPHERAL VASCULAR DIS
影响因子:1.105
ISSN:1708-5381
研究方向:医学-外周血管病
影响因子:3.299
ISSN:0003-3197
研究方向:医学-外周血管病
影响因子:1.701
ISSN:0268-3555
研究方向:医学-外周血管病
影响因子:10.658
ISSN:0969-6970
研究方向:PERIPHERAL VASCULAR DISEASE-
影响因子:9.897
ISSN:0194-911X
研究方向:医学-外周血管病
发表一篇学和医学成像类SCI论文
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