title: Middle-preserving pancreatectomy for synchronous ampullary carcinoma and solid-pseudopapillary tumor of distal pancreas.
abstract: BACKGROUND
  Total pancreatectomy is the treatment of choice for multicentric diseases involving the pancreas. Middle-preserving pancreatectomy is a recently reported alternative procedure when the pancreatic body is spared from disease.
  
  
  METHODS
  We report a 63-year old lady who underwent a combined Whipple's operation and distal splenopancreatectomy for her synchronous ampullary carcinoma and solid-pseudopapillary tumor of the distal pancreas.
  
  
  CONCLUSIONS
  For multiple tumors of the pancreas, the choice of surgery should be based on the nature of pathology and follow the principle of oncological resection.
  
  
  CONCLUSIONS
  Middle-preserving pancreatectomy is a safe and feasible option for patient with multicentric or synchronous pancreatic pathologies.
authors.affiliation: Department of Hepatobiliary Surgery, The First People's Hospital of Fo Shan, Fo Shan 528000, Guang Dong, People's Republic of China.
authors.forename: Huan-Wei
authors.initials: HW
authors.lastname: Chen
authors.forename: Feng-Jie
authors.initials: FJ
authors.lastname: Wang
authors.forename: Eric C H
authors.initials: EC
authors.lastname: Lai
authors.forename: Wan Yee
authors.initials: WY
authors.lastname: Lau
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