Is there a place for central pancreatectomy in pancreatic surgery

摘要: Abstract Tumors located in the neck of pancreas that are not small and superficial enough to be enucleated usually resected with a pancreaticoduodenectomy or left splenopancreatectomy. Such operations may cause digestive disorders, glucose intolerance, late postsplenectomy infection. Central pancreatectomy is segmental resection whereby cephalic stump sutured distal anastomosed Roux-en-Y jejunal loop. The purpose this study was evaluate whether central has place pancreatic surgery. Thirteen patients following tumors underwent pancreatectomy: five endocrine tumors, one mucinous six serous cystadenomas, solid cystic-papillary tumor. Mean operative time 250 minutes. Operative mortality zero. Complications occurred three (23%). At mean follow-up 68 months, no recurrences were found. Postoperative oral tolerance, pancreolauryl, fecal fat excretion tests normal all patients. We believe does have surgery; it reliable technique for benign low-grade malignant surgical risk similar standard operations. Its principal advantage preserves parenchyma anatomy upper gastrointestinal biliary tract spleen better than splenic resection.