Published in:
Open Access
01-12-2009 | Technical innovations
Central pancreatectomy without anastomosis
Authors:
Michael Wayne, Siyamek Neragi-Miandoab, Franklin Kasmin, William Brown, Anil Pahuja, Avram M Cooperman
Published in:
World Journal of Surgical Oncology
|
Issue 1/2009
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Abstract
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.