TY - JOUR
T1 - Central pancreatectomy without anastomosis
AU - Wayne, Michael
AU - Neragi-Miandoab, Siyamek
AU - Kasmin, Franklin
AU - Brown, William
AU - Pahuja, Anil
AU - Cooperman, Avram M.
PY - 2009/8/31
Y1 - 2009/8/31
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=70350709735&partnerID=8YFLogxK
U2 - 10.1186/1477-7819-7-67
DO - 10.1186/1477-7819-7-67
M3 - Article
C2 - 19719851
AN - SCOPUS:70350709735
SN - 1477-7819
VL - 7
SP - 67
JO - World Journal of Surgical Oncology
JF - World Journal of Surgical Oncology
M1 - 67
ER -