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Surgery for Ampulla of Vater Adenoma
바터씨 팽대부 선종의 수술적 치료
Korean Journal of HBP Surgery 2007 Mar;11(1):1-6
Published online March 30, 2007
Copyright © 2007 Korean Journal of Hepato-Biliary-Pancreatic Sursery.

Dong Sup Yoon, M.D.
윤동섭

Department of Surgery, Yonsei University College of Medicine
연세대학교 의과대학 외과학교실
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Ampullary adenoma is a very rare tumor and it is truly a premalignantneoplasm. The current methods of endoscopic biopsy and evenintraoperative frozen sections are limited in their ability to rule out coexistingfoci of carcinoma. So, complete removal should be obtained forthe treatment of ampullary tumor. Physicians can select one of thetreatment modalities, including endoscopic papillectomy, transduodenallocal resection and pancreaticoduodenectomy, according to the tumorsize and the co-existence of severe dysplasia, carcinoma in situ oradenocarcinoma, and the patient’s medical illness.Endoscopic papillectomy can be done in the case of a small adenoma.Pancreaticoduodenectomy is now a standard treatment for a largeadenoma and also adenoma with carcinoma. From the view point oforgan preservation and long-term quality of life, determining theadequate indications for performing transduodenal local resection forlarge ampullary adenoma and adenoma with carcinoma should be done.
Keywords : Ampulla of Vater, Adenoma, Surgical Procedure

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