title: Middle pancreatectomy--own experience.
abstract: The aim of the study was to analyse early results after middle pancreatectomy based on our experience.
  
  
  METHODS
  During the period between 2008 and 2009, 154 pancreatic resections were performed at the Department of Gastrointestinal Surgery, Silesian Medical University in Katowice. The following procedures were performed: 109 (70.78%) pancreatoduodenectomies, 32 (20.78%) distal pancreatectomies, 9 (5.84%) middle pancreatectomies, 3 (1.94%) total pancreatic resections, and 1 (0.65%) subtotal pancreatic resection. Early results in case of nine middle pancreatectomies were subject to analysis.
  
  
  RESULTS
  Average hospitalization period amounted to 24.28 days (ranging between 8 and 57 days). Mean hospitalization period after surgery amounted to 20.71 days (ranging between 6 and 54 days). Average duration of the surgical procedure amounted to 3.6 hours (ranging between 2.25 and 4 hours). Wirsung's duct required drainage in 4 (44.4%) patients. Pancreatoenterostomy was performed in 5 (55.5%) patients. Early postoperative complications were observed in three (33.3%) patients. The most common complications included wound suppuration and intra-abdominal abscess development observed in two (22.2%) patients. Pancreatic fistula development during the postoperative period was observed in case of one (11.1%) patient. Other early postoperative complications included peritoneal cavity hemorrhage (1-11.1%) and pancreatic necrosis (1-11.1%). Two (2.22%) reoperations were required. Early postoperative mortality amounted to 0%.
  
  
  CONCLUSIONS
  Middle pancreatectomy operations performed in experienced centers are considered as safe procedures with a low rate of complications. The most common indication for middle pancreatectomy is the diagnosis of a benign pancreatic tumor.
authors.affiliation: Department of Gastrointestinal Surgery, Silesian Medical University in Katowice.
authors.forename: Beata
authors.initials: B
authors.lastname: Jabłońska
authors.forename: Dymitr
authors.initials: D
authors.lastname: Żaworonkow
authors.forename: Daria
authors.initials: D
authors.lastname: Dranka-Bojarowska
authors.forename: Paweł
authors.initials: P
authors.lastname: Musialski
authors.forename: Paweł
authors.initials: P
authors.lastname: Lampe
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010182:Pancreatic Diseases / Q000601:surgery*; D011044:Poland; D016896:Treatment Outcome