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Published in: World Journal of Surgical Oncology 1/2009

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.
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Metadata
Title
Central pancreatectomy without anastomosis
Authors
Michael Wayne
Siyamek Neragi-Miandoab
Franklin Kasmin
William Brown
Anil Pahuja
Avram M Cooperman
Publication date
01-12-2009
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2009
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-7-67

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