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Surgery and Perioperative Management in Small Intestinal Neuroendocrine Tumors

机译:小肠神经内分泌肿瘤的手术和围手术期管理

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Small-intestinal neuroendocrine tumors (SI-NETs) are the most prevalent small bowel neoplasms with an increasing frequency. In the multimodal management of SI-NETs, surgery plays a key role, either in curative intent, even if R0 resection is feasible in only 20% of patients due to advanced stage at diagnosis, or palliative intent. Surgeons must be informed about the specific surgical management of SI-NETs according to their hormonal secretion, their usual dissemination at the time of diagnosis and the need for bowel-preserving surgery to avoid short bowel syndrome. The aim of this paper is to review the surgical indications and techniques, and perioperative and postoperative management of SI-NETs.
机译:小肠神经内分泌肿瘤(Si-Net)是最普遍的小肠肿瘤,频率增加。在Si-ents的多模式管理中,手术在治疗意图中发挥关键作用,即使R0切除只有20%的患者在诊断的晚期阶段,或姑息的意图是可行的。必须根据荷尔蒙的分泌,在诊断时的常规传播和肠道保存手术的需要,以避免短肠综合征的需要,通知外科医生。本文的目的是审查外科手术指示和技术,围手术期和术后和术后管理。

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