{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:47:26Z","timestamp":1791305246102,"version":"4.3.1"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T00:00:00Z","timestamp":1406592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>For multiple low\u2010grade malignant tumors located in the pancreatic head and tail, middle\u2010segment\u2013preserving pancreatectomy (<jats:styled-content style=\"fixed-case\">MSPP<\/jats:styled-content>) is sometimes indicated. However, <jats:styled-content style=\"fixed-case\">MSPP<\/jats:styled-content> has rarely been performed laparoscopically. Here we report the first case of laparoscopic <jats:styled-content style=\"fixed-case\">MSPP<\/jats:styled-content> for multiple pancreatic neuroendocrine tumors diagnosed preoperatively under an endoscopic ultrasound\u2010guided fine\u2010needle aspiration biopsy. A 70\u2010year\u2010old man had multiple small tumors located in the pancreatic head, body and tail. Endoscopic ultrasound\u2010guided fine\u2010needle aspiration biopsy with immunohistochemical staining made a definitive diagnosis of a pancreatic neuroendocrine tumor (<jats:styled-content style=\"fixed-case\">G1<\/jats:styled-content>). To preserve the 5\u2010cm pancreas body, we successfully performed laparoscopic <jats:styled-content style=\"fixed-case\">MSPP<\/jats:styled-content>: subtotal stomach\u2010preserving pancreaticoduodenectomy followed by distal pancreatosplenectomy. Pathological examination revealed negative surgical margin after resection. Postoperative course was uneventful, and at 14\u2009months after the operation, the patient remains tumor\u2010free. The patient has discontinued insulin supplement therapy but does use an oral hypoglycemic agent. Laparoscopy\u2010assisted <jats:styled-content style=\"fixed-case\">MSPP<\/jats:styled-content>, with reconstruction through a 6\u2010cm transverse incision, can be safely performed for selected cases of borderline and malignant lesions.<\/jats:p>","DOI":"10.1111\/ases.12107","type":"journal-article","created":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T02:32:19Z","timestamp":1406687539000},"page":"271-274","source":"Crossref","is-referenced-by-count":8,"title":["Laparoscopy assisted middle\u2010segment\u2013preserving pancreatectomy for multiple pancreatic neuroendocrine tumors: Report of a case"],"prefix":"10.1111","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2882-0994","authenticated-orcid":false,"given":"Masanobu","family":"Usui","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naohisa","family":"Kuriyama","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunori","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Pathology Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Kishiwada","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shugo","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masami","family":"Tabata","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taizo","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Department of Pathology Mie University School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Isaji","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic and Transplant Surgery Mie University School of Medicine  Tsu 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