title: Central pancreatectomy without anastomosis.
abstract: BACKGROUND
  Central pancreatectomy has a unique application for lesions in the neck of the pancreas. It preserves the distal pancreas and its endocrine functions. It also preserves the spleen.
  
  
  METHODS
  This is a retrospective review of 10 patients who underwent central pancreatectomy without pancreatico-enteric anastomosis between October 2005 and May 2009. The surgical indications, operative outcomes, and pathologic findings were analyzed.
  
  
  RESULTS
  All 10 lesions were in the neck of the pancreas and included: 2 branch intraductal papillary mucinous neoplasms (IPMNs), a mucinous cyst, a lymphoid cyst, 5 neuroendocrine tumors, and a clear cell adenoma.
  
  
  CONCLUSIONS
  Central pancreatectomy without pancreatico-enteric anastomosis for lesions in the neck and proximal pancreas is a safe and effective procedure. Morbidity is low because there is no anastomosis. Long term endocrine and exocrine function has been maintained.
authors.affiliation: The Pancreas and Biliary Center at Saint Vincent's Hospital, New York, NY 10011, USA. waynedocny@yahoo.com
authors.forename: Michael
authors.initials: M
authors.lastname: Wayne
authors.forename: Siyamek
authors.initials: S
authors.lastname: Neragi-Miandoab
authors.forename: Franklin
authors.initials: F
authors.lastname: Kasmin
authors.forename: William
authors.initials: W
authors.lastname: Brown
authors.forename: Anil
authors.initials: A
authors.lastname: Pahuja
authors.forename: Avram M
authors.initials: AM
authors.lastname: Cooperman
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D021441:Carcinoma, Pancreatic Ductal / Q000556:secondary / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome