title: Outcomes and indications of segmental pancreatectomy. Comparison with distal pancreatectomy.
abstract: OBJECTIVE
  To preserve pancreatic function, segmental pancreatectomy has been proposed for benign or low-malignancy tumors in the pancreatic body. Indications for the procedure, however, are still controversial.
  
  
  METHODS
  In this study, we investigated the advantages and disadvantages of segmental pancreatectomy compared with distal pancreatectomy and subsequently determined indications for segmental pancreatectomy.
  
  
  RESULTS
  The distal pancreatectomy patients had shorter operation times, lower incidence of operative complications, and shorter hospital stays compared to segmental pancreatectomy patients. Endocrine function in distal pancreatectomy patients deteriorated compared to that of segmental pancreatectomy patients. The postoperative 75-gram oral glucose tolerance test showed a diabetic pattern in 3 of 7 distal pancreatectomy patients, whereas none of the segmental pancreatectomy patients became diabetic after surgery. The relation between the length of the removed pancreas and plasma glucose at 2 h after the 75-gram glucose intake showed a significant correlation.
  
  
  CONCLUSIONS
  According to our results, if the length of removed pancreas is longer than 12 cm, the patients will have a risk of acquiring diabetes. In those cases, the segmental pancreatectomy should be considered.
authors.affiliation: Department of Surgery, Akita University, Akita, Japan. shibata@surg1.med.akita-u.ac.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Shibata
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sato
authors.forename: Hideaki
authors.initials: H
authors.lastname: Andoh
authors.forename: Ouki
authors.initials: O
authors.lastname: Yasui
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshioka
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Kurokawa
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
authors.forename: Norihito
authors.initials: N
authors.lastname: Ise
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kotanagi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Asanuma
authors.forename: Kenji
authors.initials: K
authors.lastname: Koyama
mesh_terms: D010129:4-Aminobenzoic Acid / Q000652:urine; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D001835:Body Weight; D003920:Diabetes Mellitus / Q000209:etiology; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose; D010129:4-Aminobenzoic Acid