Central pancreatectomy for benign tumors of the neck and body of the pancreas: Report of eight cases

Zhou, Jianping; Dong, Ming; Fan-min, Kong; Yu-ji, LI; Tian, Yue

doi:10.1002/jso.21263

Cited by 13 publications

(23 citation statements)

References 13 publications

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“…However, these lesions are increasingly being treated by central pancreatectomy (CP) [1]. Even though DP can be performed with low mortality, its morbidity is high, particularly because of the possible need for splenectomy and the sacrifice of healthy pancreas, leading to postoperative immunosuppression or diabetes [2,3]. PD is also complicated by postoperative diabetes as well as its own intrinsic morbidity [3].…”

Section: Introductionmentioning

confidence: 99%

“…Even though DP can be performed with low mortality, its morbidity is high, particularly because of the possible need for splenectomy and the sacrifice of healthy pancreas, leading to postoperative immunosuppression or diabetes [2,3]. PD is also complicated by postoperative diabetes as well as its own intrinsic morbidity [3]. However, indications for enucleation are limited, especially when tumor size is large, leaving CP as a logical alternative.…”

Section: Introductionmentioning

confidence: 99%

“…However, indications for enucleation are limited, especially when tumor size is large, leaving CP as a logical alternative. While CP is generally considered a ''safe'' procedure [3], it is associated with an incidence of postoperative pancreatic fistula as high as 63% depending on the series [2][3][4][5][6][7]. There are studies comparing the incidence of pancreatic fistula after DP in relation to the type of pancreatico-enteric anastomosis employed [8], but no study has compared postoperative morbidity after CP between the two types of anastomosis (pancreatico-jejunal vs. pancreatico-gastric).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Central pancreatectomy: Comparison of results according to the type of anastomosis

Venara

Franco

Mucci

et al. 2012

Journal of Visceral Surgery

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Central pancreatectomy: Comparison of results according to the type of anastomosis

Venara

Franco

Mucci

et al. 2012

Journal of Visceral Surgery

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“…Since the first central pancreatectomy was reported in 1984 by Dagradi and Serio [16] in a patient with pancreatic insulinoma, >400 cases of central pancreatectomy have been reported taking into account the previously revised series [2,17] and the most recent published series [5,[18][19][20][21][22][23][24]. The reconstructive steps after central pancreatectomy are usually a (end-to-end, end-to-side, duct-to-mucosa, or side-to-side) pancreaticojejunostomy or a pancreaticogastrostomy with the distal pancreatic stump after closure of cephalic pancreatic stump and main duct.…”

Section: Discussionmentioning

confidence: 99%

Roux-en-Y end-to-end and end-to-side double pancreaticojejunostomy: application of the reconstructive method of the Beger procedure to central pancreatectomy

Chirletti¹,

Peparini²,

Caronna³

et al. 2009

Langenbecks Arch Surg

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“…Therefore, minimally invasive procedures play an increasing role in surgery, sparing the normal pancreatic parenchyma. In case of benign or border-line malignancy tumors middle pancreatectomies are performed more and more often (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

mentioning

confidence: 99%

Middle Pancreatectomy - Own Experience

Jabłońska¹,

Żaworonkow²,

Dranka-Bojarowska³

et al. 2011

Polish Journal of Surgery

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the aim of the study was to analyse early results after middle pancreatectomy based on our experience. Material and methods. During the period between 2008 and 2009, 154 pancreatic resections were performed at the Department of Gastrointestinal Surgery, Silesian Medical University in Katowice. The following procedures were performed: 109 (70.78%) pancreatoduodenectomies, 32 (20.78%) distal pancreatectomies, 9 (5.84%) middle pancreatectomies, 3 (1.94%) total pancreatic resections, and 1 (0.65%) subtotal pancreatic resection. Early results in case of nine middle pancreatectomies were subject to analysis. Results. Average hospitalization period amounted to 24.28 days (ranging between 8 and 57 days). Mean hospitalization period after surgery amounted to 20.71 days (ranging between 6 and 54 days). Average duration of the surgical procedure amounted to 3.6 hours (ranging between 2.25 and 4 hours). Wirsung's duct required drainage in 4 (44.4%) patients. Pancreatoenterostomy was performed in 5 (55.5%) patients. Early postoperative complications were observed in three (33.3%) patients. The most common complications included wound suppuration and intra-abdominal abscess development observed in two (22.2%) patients. Pancreatic fistula development during the postoperative period was observed in case of one (11.1%) patient. Other early postoperative complications included peritoneal cavity hemorrhage (1-11.1%) and pancreatic necrosis (1-11.1%). Two (2.22%) reoperations were required. Early postoperative mortality amounted to 0%. conclusions. Middle pancreatectomy operations performed in experienced centers are considered as safe procedures with a low rate of complications. The most common indication for middle pancreatectomy is the diagnosis of a benign pancreatic tumor. Key words: middle pancreatectomy, middle segment pancreatetomy, central pancreatectomy, median pancreatectomy * This work was supported by the European Community from the European Social Fund within the RFSD 2 project.The most common standard pancreatic resections, such as pancreatoduodenectomy and distal pancreatectomy are burdened with the risk of postoperative exocrine and endocrine pancreatic insufficiency, as well as complications connected with splenectomy (in case of distal resection). The presence of the abovementioned complications is connected with the depletion of the healthy pancreatic parenchyma during these procedures. Therefore, minimally invasive procedures play an increasing role in surgery, sparing the normal pancreatic parenchyma. In case of benign or border-line malignancy tumors middle pancreatectomies are performed more and more often (1-17).

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Central pancreatectomy for benign tumors of the neck and body of the pancreas: Report of eight cases

Abstract: Central pancreatectomy is a safe technique for benign tumors of the pancreatic neck and body, especially when the enucleation is very difficult.

Cited by 13 publications

References 13 publications

Central pancreatectomy: Comparison of results according to the type of anastomosis

Central pancreatectomy: Comparison of results according to the type of anastomosis

Roux-en-Y end-to-end and end-to-side double pancreaticojejunostomy: application of the reconstructive method of the Beger procedure to central pancreatectomy

Middle Pancreatectomy - Own Experience

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