title: [Surgical experience on Roux-en-Y pancreaticojejunostomy after local pancreatic head resection for benign tumors of the pancreatic head].
abstract: OBJECTIVE
  To explore the value of Roux-en-Y pancreaticojejunostomy after local pancreatic head resection in treating benign tumors of pancreatic head (BTPH).
  
  
  METHODS
  The clinical data of 12 patients diagnosed as BTPH and treated by Roux-en-Y pancreaticojejunostomy after local pancreatic head resection in Department of General Surgery, Peking University Third Hospital from November 2006 to October 2013 were retrospectively analyzed.Of the 12 cases, 5 patients were male, 7 patients were female, the age of patients ranged from 21 to 64 years(average 42.3 years). Diameter of tumors was 3.0-4.8 cm.Diameter of pancreatic wound after resection was 5.1-7.9 cm, and main pancreatic duct injury happened in 1 case.
  
  
  RESULTS
  Two cases of mucinous cystadenoma, 2 insulinoma, 3 solid pseudopapillary tumor and 4 nonfunctional pancreatic neuroendocrine tumors were confirmed histopathologically.No mortality and pancreatic leakage occurred during the perioperative period.All the 12 patients had no sign of recurrence.Experienced good life quality without occurrence of diabetes during the follow-up period of 24-108 months(more than 60 months in 4 cases).
  
  
  CONCLUSIONS
  Roux-en-Y pancreaticojejunostomy after local pancreatic head resection is a reasonable choice for benign tumors of the pancreatic head as long as the patient is properly selected.
authors.affiliation: Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Chunhui
authors.initials: C
authors.lastname: Yuan
authors.forename: Chen
authors.initials: C
authors.lastname: Ye
authors.forename: Ming
authors.initials: M
authors.lastname: Tao
authors.forename: Zhaolai
authors.initials: Z
authors.lastname: Ma
authors.forename: Bin
authors.initials: B
authors.lastname: Jiang
authors.forename: Lei
authors.initials: L
authors.lastname: Li
authors.forename: Liang
authors.initials: L
authors.lastname: Wang
authors.forename: Hangyan
authors.initials: H
authors.lastname: Wang
authors.forename: Yaxi
authors.initials: Y
authors.lastname: Chen
authors.forename: Tonglin
authors.initials: T
authors.lastname: Zhang
authors.forename: Dianrong
authors.initials: D
authors.lastname: Xiu
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y; D018291:Cystadenoma, Mucinous / Q000601:surgery; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D010193:Pancreaticojejunostomy; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult