title: [Middle segment pancreatectomy for the benign tumors of the neck and body of the pancreas (report of 15 cases)].
abstract: OBJECTIVE
  To study the clinical application value of middle segment pancreatectomy in the treatment of benign tumors of the amphi-neck of the pancreas.
  
  
  METHODS
  Fifteen cases were retrospectively analyzed treated from November 2005 to June 2009. There were 3 male and 12 female aging from 30 to 50 years. They all received middle segment pancreatectomy for benign tumors of the amphi-neck of the pancreas.
  
  
  RESULTS
  There was no death during perioperative period. All the 15 patients received middle segment pancreatectomy. Fourteen of them received the closure of broken ends of pancreatic head, pancreaticojejunostomy (mono-anastomosis) and the rest one received dipl-anastomosis. Postoperative pathology showed that in the 15 patients, 1 got solid-pseudopapillary tumor of the pancreas, 3 got non-functional islet cell tumor, 11 got cystadenoma of pancreas. Three of them got pancreatic fistula and were self cured in 3 months. Follow-up visits to all the patients kept in the following 2 to 45 months. There was no death. No patients got new-onset diabetes and pancreatic pseudocyst. And their tumors were not relapsed.
  
  
  CONCLUSIONS
  There is an exact therapeutic effect of middle segment pancreatectomy for benign tumors of the amphi-neck of the pancreas. The treatment has little function damage to patients' endocrine and external secretion. The incidence rate of pancreatic fistula in middle segment pancreatectomy is higher than that in pancreaticoduodenectomy. As long as the drainage is kept unobstructed, most of the pancreatic fistula can be self cured.
authors.affiliation: Department of Hepatopancreatobiliary Surgery, Chinese-Japan Union Hospital of Jilin University, Changchun, China.
authors.forename: Yong-sheng
authors.initials: YS
authors.lastname: Yang
authors.forename: Xiao-dong
authors.initials: XD
authors.lastname: Wang
authors.forename: De-gang
authors.initials: DG
authors.lastname: Ji
authors.forename: Dan
authors.initials: D
authors.lastname: Zhang
authors.forename: Ying-jun
authors.initials: YJ
authors.lastname: Xie
authors.forename: Zi-hui
authors.initials: ZH
authors.lastname: Meng
authors.forename: Xue-wen
authors.initials: XW
authors.lastname: Zhang
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies