Central pancreatectomy for benign tumors of the neck and body of the pancreas: report of eight cases.
BACKGROUND
To discuss the advantage of central pancreatectomy in the patients with benign tumors of the neck and body of the pancreas.


METHODS
Eight patients from January 1990 to December 2007 were retrospectively analyzed in our hospital. The operation is carried out by exposition of the pancreatic neck and body involved by the lesion. Thereafter, the lesion is dissected from the spleen artery and porto-mesenteric vein. The cephalic stump is sutured, and the distal stump is anastomosed by an end-to-end invaginated pancreaticojejunostomy with double-layer suture.


RESULTS
Central pancreatectomy was done in eight patients including five mucinous cystadenomas, one serious cystadenoma, one insulinoma and one nonfunctional islet cell tumor. No mortality rate developed and morbidity rate was 37.5%. Pancreatic fistula occurred in three cases and was treated conservatively.


CONCLUSIONS
Central pancreatectomy is a safe technique for benign tumors of the pancreatic neck and body, especially when the enucleation is very difficult.
Zhou
Jianping
J
Department of General Surgery, the First Hospital of China Medical University, Shenyang, China.
Dong
Ming
M
Kong
Fanmin
F
Li
Yuji
Y
Tian
Yulin
Y
D007516:Adenoma, Islet Cell / Q000601:surgery; D000328:Adult; D018291:Cystadenoma, Mucinous / Q000601:surgery; D018293:Cystadenoma, Serous / Q000601:surgery; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies