Nonstandard pancreatic resections for unusual lesions.
BACKGROUND
Pancreatic resections including pancreaticoduodenectomy and distal pancreatectomy are the standard of care for patients with malignant tumors of the pancreas. Patients with benign disease or unusual tumors may benefit from other nonstandard resections.


METHODS
A review of the literature and the author's experiences were undertaken.


RESULTS
Parenchymal-sparing surgeries including pancreatic enucleation, central pancreatectomy, splenic-preserving distal pancreatectomy, and duodenal-preserving pancreatic head resection are described. The utility of each procedure is reviewed. Outcome results from published series are included.


CONCLUSIONS
Nonstandard pancreatic resections should be considered in select patients with unusual lesions. Such procedures are safe and effective and may be associated with a reduced incidence of exocrine insufficiency.
Aranha
Gerard V
GV
Department of Surgery and Section of Surgical Oncology, Loyola University Medical Center, Maywood, IL 60153, USA. garanha@lumc.edu
Shoup
Margo
M
D000230:Adenocarcinoma / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D006801:Humans; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D013154:Spleen / Q000601:surgery