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

✍ Scribed by Jianping Zhou; Ming Dong; Fanmin Kong; Yuji Li; Yulin Tian

• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 157 KB
• Volume: 100
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/jso.21263

✦ Synopsis

Abstract

Background

To discuss the advantage of central pancreatectomy in the patients with benign tumors of the neck and body of the pancreas.

Methods

Eight patients from January 1990 to December 2007 were retrospectively analyzed in our hospital. The operation is carried out by exposition of the pancreatic neck and body involved by the lesion. Thereafter, the lesion is dissected from the spleen artery and porto‐mesenteric vein. The cephalic stump is sutured, and the distal stump is anastomosed by an end‐to‐end invaginated pancreaticojejunostomy with double‐layer suture.

Results

Central pancreatectomy was done in eight patients including five mucinous cystadenomas, one serious cystadenoma, one insulinoma and one nonfunctional islet cell tumor. No mortality rate developed and morbidity rate was 37.5%. Pancreatic fistula occurred in three cases and was treated conservatively.

Conclusion

Central pancreatectomy is a safe technique for benign tumors of the pancreatic neck and body, especially when the enucleation is very difficult. J. Surg. Oncol. 2009;100:273–276. © 2009 Wiley‐Liss, Inc.