Central pancreatectomy with pancreaticogastrostomy in children

Central pancreatectomy for pancreatoblastoma in a 16-year-old girl

“…Nevertheless, despite any proved advantages and more adult patients with CP, this conservative pancreatic surgical procedure is extremely rare reported in children either by open [12] or laparoscopic approach [13]. The indications for CP in the reported cases were solid pseudopapillary tumor (2 patients) and pancreatic trauma (one patient) [12,13].…”

“…The indications for CP in the reported cases were solid pseudopapillary tumor (2 patients) and pancreatic trauma (one patient) [12,13].…”

Pancreatic Tumors

“…If a central pancreatic resection has to be performed, the drainage of the tail must be accomplished by a Roux-en-Y jejunal loop or a pancreaticogastrostomy (Fisher et al 2007 ) . If the portal vein, the mesenteric vein, or the venous confl uens are infi ltrated, a bypass can be constructed using jugular vein graft or a Goretex graft (Goh et al 2007 ;Sperti et al 2008 ) .…”

Pancreaticojejunostomy in proximal pancreatic transection: A viable option

“…Distal pancreatectomy with or without splenectomy has been the preferred procedure. While the former may sacrifice significant pancreatic parenchyma and lead to pancreatic insufficiency, the later renders the child vulnerable for post splenectomy infections[2–4]. We performed pancreaticojejunostomy on a six-year-old female patient who presented with complete transection of the pancreatic neck following blunt abdominal trauma.…”

“…The incidence of pancreatic fistula formation has been more or less the same after distal pancreatectomy and pancreticoenterostomy: 30-50% and 6-50%, respectively[10]. However, the possibility of pancreatic insufficiency and the risk of post-splenectomy infections remain a significant concern after distal pancreatectomy and splenectomy[4]. …”