Central pancreatectomy without anastomosis

BACKGROUND: Central pancreatectomy has a unique application for lesions in the neck of the pancreas. It preserves the distal pancreas and its endocrine functions. It also preserves the spleen. METHODS: This is a retrospective review of 10 patients who underwent central pancreatectomy without pancrea...

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Detalles Bibliográficos
Autores principales: Wayne, Michael, Neragi-Miandoab, Siyamek, Kasmin, Franklin, Brown, William, Pahuja, Anil, Cooperman, Avram M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Technical Innovations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743692/
https://www.ncbi.nlm.nih.gov/pubmed/19719851
http://dx.doi.org/10.1186/1477-7819-7-67
Descripción
Sumario:BACKGROUND: Central pancreatectomy has a unique application for lesions in the neck of the pancreas. It preserves the distal pancreas and its endocrine functions. It also preserves the spleen. METHODS: This is a retrospective review of 10 patients who underwent central pancreatectomy without pancreatico-enteric anastomosis between October 2005 and May 2009. The surgical indications, operative outcomes, and pathologic findings were analyzed. RESULTS: All 10 lesions were in the neck of the pancreas and included: 2 branch intraductal papillary mucinous neoplasms (IPMNs), a mucinous cyst, a lymphoid cyst, 5 neuroendocrine tumors, and a clear cell adenoma. CONCLUSION: Central pancreatectomy without pancreatico-enteric anastomosis for lesions in the neck and proximal pancreas is a safe and effective procedure. Morbidity is low because there is no anastomosis. Long term endocrine and exocrine function has been maintained.

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