title: Extensive distal pancreatectomy for pancreatic tumor.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the feasibility and advantages of extensive distal pancreatectomy (ExDP).
  
  
  METHODS
  We retrospectively analyzed our experience in 24 patients, who underwent ExDP or total pancreatectomy (TP) for the treatment of pancreatic cancer (22 patients) or benign tumor (two patients).
  
  
  RESULTS
  ExDP was associated with less blood loss (p=0.0189), shorter operative times (p=0.024), lower rates of worsening of diabetes mellitus (p<0.0001), and shorter hospital stays (p=0.0009) than TP. ExDP also had a lower complication rate than TP (1/11 cases versus 4/13 cases), but this was not a significant difference. There was no difference in the curative resection rate for pancreatic cancer between the two procedures (p=0.685).
  
  
  CONCLUSIONS
  ExDP is a feasible and function-preserving operation for the treatment of pancreatic tumors in the body of the pancreas near the portal vein.
authors.affiliation: Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan. mnakamura@med.kawasaki-m.ac.jp
authors.forename: Masafumi
authors.initials: M
authors.lastname: Nakamura
authors.forename: Takao
authors.initials: T
authors.lastname: Ohtsuka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nakashima
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Nagayoshi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kono
authors.forename: Kosuke
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Shunichi
authors.initials: S
authors.lastname: Takahata
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome