title: Conservative resection for benign tumors of the proximal pancreas.
abstract: OBJECTIVE
  To evaluate the safety and long-term prognosis of conservative resection (CR) for benign or borderline tumor of the proximal pancreas.
  
  
  METHODS
  We retrospectively analyzed 20 patients who underwent CR at the Second Affiliated Hospital of Zhejiang University School of Medicine between April 2000 and October 2008. For pancreaticojejunostomy, a modified invagination method, continuous circular invaginated pancreaticojejunostomy (CCI-PJ) was used. Modified continuous closed lavage (MCCL) was performed for patients with pancreatic fistula.
  
  
  RESULTS
  The indications were: serous cystadenomas in eight patients, insulinomas in six, non-functional islet cell tumors in three and solid pseudopapillary tumors in three. Perioperative mortality was zero and morbidity was 25%. Overall, pancreatic fistula was present in 25% of patients. At a mean follow up of 42.7 mo, all patients were alive with no recurrence and no new-onset diabetes mellitus or exocrine dysfunction.
  
  
  CONCLUSIONS
  CR is a safe and effective procedure for patients with benign tumors in the proximal pancreas, with careful CCI-PJ and postoperative MCCL.
authors.affiliation: Department of Surgery, Second Affiliated Hospital, College of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China.
authors.forename: Hai
authors.initials: H
authors.lastname: Huang
authors.forename: Xin
authors.initials: X
authors.lastname: Dong
authors.forename: Shun-Liang
authors.initials: SL
authors.lastname: Gao
authors.forename: Yu-Lian
authors.initials: YL
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D018293:Cystadenoma, Serous / Q000601:surgery; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery; D007515:Islets of Langerhans / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000295:instrumentation* / Q000379:methods*; D010185:Pancreatic Fistula / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000295:instrumentation* / Q000379:methods*; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome
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