title: Tailored resective pancreatic surgery for pediatric patients with chronic pancreatitis.
abstract: BACKGROUND
  Surgical treatment for chronic pancreatitis (CP) in children comprises predominantly nonresective draining procedures. The purpose of this study was to identify indications, techniques, and results of organ-preserving resective pancreatic procedures for pediatric CP at our institution.
  
  
  METHODS
  A retrospective chart review was performed of all children undergoing pancreatic surgery for CP over a period of 4 years.
  
  
  RESULTS
  Overall, 6 pediatric patients (3 male, 3 female, ages 7-18 years) underwent a duodenum-preserving pancreatic head resection (3), a middle segmental pancreatic resection (2), or a distal pancreatectomy (1) for CP of different etiologies (idiopathic 2, posttraumatic 2, pancreas divisum 1, situs inversus 1). No mortality or major surgical complication occurred. Mean operative time was 294 min (207-412 min) and intraoperative blood loss was 541 mL (100-1300 mL). Postoperative hospital stay was 13 days (10-18 days). No endocrine or exocrine insufficiency occurred during follow up of 46 months (25-50 m), and pain control was improved in 5 of 6 patients.
  
  
  CONCLUSIONS
  Tailored organ-preserving resective pancreatic surgery can be performed with low morbidity and mortality in pediatric patients with CP and not responding to conservative treatment.
authors.affiliation: Department of Visceral and General Surgery, Pancreas Center, St. Josef Hospital, Ruhr-University Bochum, D-44791 Bochum, Germany.
authors.forename: Ansgar M
authors.initials: AM
authors.lastname: Chromik
authors.forename: Matthias H
authors.initials: MH
authors.lastname: Seelig
authors.forename: Benjamin
authors.initials: B
authors.lastname: Saewe
authors.forename: Christophe A
authors.initials: CA
authors.lastname: Müller
authors.forename: Dirk
authors.initials: D
authors.lastname: Weyhe
authors.forename: Peter
authors.initials: P
authors.lastname: Felderbauer
authors.forename: Ulrich
authors.initials: U
authors.lastname: Mittelkötter
authors.forename: Andrea
authors.initials: A
authors.lastname: Tannapfel
authors.forename: Anjona
authors.initials: A
authors.lastname: Schmidt-Choudhury
authors.forename: Waldemar
authors.initials: W
authors.lastname: Uhl
mesh_terms: D000293:Adolescent; D002114:Calcinosis / Q000473:pathology; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy / Q000379:methods*; D050500:Pancreatitis, Chronic / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome