Surgery and Perioperative Management in Small Intestinal Neuroendocrine Tumors.
Sophie DeguelteMarine PerrierCheryne HammouteneGuillaume CadiotReza KianmaneshPublished in: Journal of clinical medicine (2020)
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.
Keyphrases
- neuroendocrine tumors
- minimally invasive
- coronary artery bypass
- patients undergoing
- room temperature
- small bowel
- end stage renal disease
- surgical site infection
- newly diagnosed
- chronic kidney disease
- type diabetes
- peritoneal dialysis
- acute kidney injury
- percutaneous coronary intervention
- rectal cancer
- patient reported outcomes
- acute coronary syndrome
- insulin resistance