title: The Feasibility of Central Pancreatectomy for Blunt Pancreatic Trauma: A Comparative Study of Central and Distal Pancreatectomy.
abstract: OBJECTIVE
  Central pancreatectomy (CP) is an alternative technique of distal pancreatectomy (DP) for focal pancreatic tumors; however, the feasibility of CP for pancreatic trauma has not been adequately assessed.
  
  
  METHODS
  Patients who underwent CP (n = 8) or DP (n = 8) for pancreatic duct injuries following blunt trauma were reviewed. Patient demographics, status of pancreatic duct injuries, and perioperative outcomes were compared between procedures.
  
  
  RESULTS
  Pancreatic duct injuries occurred at the neck of the pancreas in 63% patients (10/16). Patient demographics and perioperative outcomes were comparable between the CP and DP groups. Polytrauma was found in 38% patients in both groups. No differences were found between patients treated with CP and DP in overall blood loss (median: 1025 mL vs 1800 mL, P = 0.418) and surgical duration (median: 284 min vs 188 mm, P = 0.172). The incidence of pancreas-related complications was comparable between groups (CP: 50% vs. DP: 38%, P = 0.614.
  
  
  CONCLUSIONS
  Blunt pancreatic duct injuries tend to occur at the pancreatic neck, leaving the body and tail of the pancreas intact. CP is feasible for blunt pancreatic trauma in hemodynamically stable patients.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Mise
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Tanaka
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Furuya
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Nomura
authors.forename: Motoki
authors.initials: M
authors.lastname: Nagai
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Yoshida
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ishii
authors.forename: Akihiko
authors.initials: A
authors.lastname: Seo
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical; D002648:Child; D005240:Feasibility Studies; D005260:Female; D006439:Hemodynamics; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010183:Pancreatic Ducts / Q000293:injuries / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult