Central pancreatectomy without anastomosis

Michael Wayne, Siyamek Neragi-Miandoab, Franklin Kasmin, William Brown, Anil Pahuja, Avram M. Cooperman

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


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.

Original languageEnglish
Article number67
Pages (from-to)67
Number of pages1
JournalWorld Journal of Surgical Oncology
StatePublished - 31 Aug 2009
Externally publishedYes


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