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Experiences in central pancreatectomy

Authors
 Kang C.M. ; Lee J.-M. ; Lee W.J. ; Park J.S. ; Yoon D.S. ; Kim M.W. 
Citation
 Digestive Surgery, Vol.28(1) : 57~62, 2011 
Journal Title
 Digestive Surgery 
ISSN
 0253-4886 
Issue Date
2011
Abstract
BACKGROUND: Non-cancerous pancreatic lesions have been increasing, and function-preserving pancreatectomy may be an adequate approach to them. Recent advanced experience of major pancreatectomy has stimulated interest in central pancreatectomy (CP). MATERIALS AND METHODS: Nineteen patients who underwent CP for benign and borderline malignant lesions of the pancreas from January 1990 to December 2007 were retrospectively reviewed. We also summarized recent literature reporting more than 10 cases of CP. RESULT: Nine patients (47.4%) experienced postoperative complications. Pancreatic leak was noted in 7 patients (36.8%). Two patients (10.5%) required reoperation due to intractable pancreatic leak and postoperative bleeding. No mortality was noted. During the follow-up period (median 35 months, range 3-182 months), only 1 patient (5.3%) developed new-onset diabetes after successful CP. In a comparative study, similar perioperative morbidity was noted between CP and extended distal pancreatectomy with splenectomy (extended DP-S); however, the operation time and postoperative hospital stay were significantly longer in the CP group and the incidence of new-onset diabetes was much lower in the CP group as compared with the DP-S group (p < 0.05). CONCLUSION: CP can be carefully selected as an appropriate surgical option for benign and borderline malignant lesions limited to the pancreatic neck area.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92970
DOI
10.1159/000322407
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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Link
 http://www.karger.com/Article/FullText/322407
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