Title
Central pancreatectomy. Indications and perisurgical results of a pancreatic tissue conservation technique
Other title
[Pancreatectomia central: Indicaciones y resultados peri operatorios de una técnica de conservación de tejido pancreático.]
Date Issued
01 January 2005
Access level
metadata only access
Resource Type
journal article
Author(s)
Celis Zapata J.
Berrospi Espinoza F.
Ruiz Figueroa E.
Abstract
INTRODUCTION: Proximal or distal pancreatectomy is the standard treatment for non-resectable benign pancreatic tumors. These procedures imply a radical resection as well as a significant loss of distal normal pancreatic tissue for the standard resection, which may cause an endocrine and/or exocrine pancreatic failure. PURPOSE: Report our experience in central pancreatectomy for the treatment of benign/low malignancy potential tumors in the body and neck of the pancreas by emphasizing the indications and perisurgical results. METHODS: Prospective study of patients with suspected benign tumors in the body of pancreas. SURGICAL TECHNIQUE: Resection of central pancreas through a Roux-en-Y pancreatojejunal anastomosis. RESULTS: From March 1997 to May 2005, 12 patients underwent central pancreatectomy through pancreatojejunal anastomosis. 6 benign tumors were found in the islets of Langerhans: 3 microcystic cystadenomas, 1 mucinous cystadenoma, 1 pseudopapillary solid tumor, and 1 serous cystadenoma. Morbidity rate was 33.3% with no post-surgery deaths. Pancreatic failure was not reported during follow up. CONCLUSION: Some selected cases of benign/low malignancy potential tumors may be treated with central pancreatectomy and pancreatojejunal anastomosis with acceptable morbidity levels and minimum mortality levels. The benefit from preserving the greatest extension of healthy pancreatic tissue as possible is translated into a preservation of the endocrine and exocrine functions of the pancreas.
Start page
349
End page
355
Volume
25
Issue
4
Language
Spanish
OCDE Knowledge area
Gastroenterología, Hepatología
Scopus EID
2-s2.0-33645450463
PubMed ID
Source
Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
ISSN of the container
10225129
Sources of information:
Directorio de Producción Científica
Scopus