Central pancreatectomy: an oncologically safe option to treat metastases of other neoplasms of the mid-portion of the pancreas?

Abstract

Backgrounds/Aims: Standard pancreatic resections are the current approach for patients with resectable, isolated pancreatic metastases of other neoplasms. However, the role of parenchyma-sparing pancreatectomies for such pathology is poorly investigated. The aim of the present study is to assess the oncological safety of central pancreatectomies for pancreatic metastases of other neoplasms. Methods: A literature search was performed in order to identify patients with central pancreatectomies for pancreatic metastases of other neoplasms. The available data of the patients were extracted and analyzed. Results: A total number of 16 patients were identified. Renal carcinoma was the primary origin for the largest number of these patients (11 patients -69%). The mean overall survival time was 109 months, with 1-, 5-and 10-year survival rates of 100%, 84%, and 60%, respectively. Conclusions: Although not often performed, a central pancreatectomy appears to be an oncologically safe surgical procedure in select patients with pancreatic metastases of other neoplasms of the pancreatic body and isthmus. However, no definitive conclusions should be drawn, based on the data provided in the present study, due to the limited number and heterogeneity of the patients.

Central pancreatectomy for early-stage pancreatic ductal adenocarcinoma: a single-center case–control study

“…Central pancreatectomy (CP) has been proposed as an alternative to DP for benign or low-grade malignant tumors in the neck of the pancreas because it spares normal pancreatic tissue and potentially preserves the function [5]. In addition, CP was also applied to treat metastatic lesions to the pancreas [6,7]. Central pancreatectomy, also known as middle pancreatectomy or medial pancreatectomy, was first performed by Dagradi and Serio [8] in patients with oncological indication in 1982.…”

Preservation of Pancreatic Function Should Not Be Disregarded When Performing Pancreatectomies for Pancreatoblastoma in Children

“…A central pancreatectomy was initially proposed for benign and low-grade malignant tumors of the pancreas [ 56 ]. However, central pancreatectomies were proven oncologically safe in adults for a few malignancies, such as metastases of other neoplasms to the pancreas [ 85 ].…”