Central Pancreatectomy：Analysis of 29 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG He ,  SUN Bei , . BAI Xuewei , CHEN Hua , LI Jun , TAN Hongtao , JIANG Hongchi

Department of Pancreatic and Biliary Surgery， The First Affiliated Hospital of Harbin Medical University， Harbin 150001， Heilongjiang Province， China;

Corresponding author：

SUN Bei, Email: sunbei70@tom.com

Keywords：

Central pancreatectomy; Benign tumor of pancreas; Endocrine and exocrine function

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To study the clinical significance of central pancreatectomy in treatment of benign tumor of neck and body of pancreas.
Methods 　The clinical data of 29 patients with benign tumor of pancreas were reviewed retrospectively in our hospital during the past 5 years.
Results 　There was no perioperative death. Mean of operative time was （165±45） min （125-270min）， mean of blood loss was （173±88） mL （50-450mL）. The pathological diagnosis of all the patients were benign. Pancreatic fistula occurred in 10 patients. One patient with bleeding after operation was treated with another two operations. Twenty-one patients were followed-up with the time ranged from 3 months to 4 years （average 16 months）. There were no complications related to diabetes.
Conclusion 　Central pancreatectomy is reasonable for patients with benign tumor of pancreas， it could well preserve the endocrine and exocrine function of pancreas， and improve the quality of life of patients.

Citation： ZHANG He,SUN Bei,. BAI Xuewei,CHEN Hua,LI Jun,TAN Hongtao,JIANG Hongchi. Central Pancreatectomy：Analysis of 29 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(9): 1045-1048. doi: Copy

1.	Bassi C， Dervenis C， Butturini G， et al. Postoperative pancreatic fistula：an international study group (ISGPF) definition[J]. J Surg， 2005， 138(1)：8-13.
2.	徐进，戴显伟，卜献. 胰腺中段切除术(附15例报道)[J]. 中国普外基础与临床杂志， 2009， 16(6)：478-480.
3.	Muller MW， Friess H， Kleeff J， et al. Middle segmental pancre-atic resection：an option to treat brnign pancreatic body lesions[J]. Ann Surg， 2006， 244(6)：909-918.
4.	Asanuma Y， Koyama K， Saito K， et al. An appraisal of segmentalpancreatetomy for benign tumors of the pancreatic body：a report of two cases[J]. Surg Today， 1993， 23(8)：733-736.
5.	Iacono C， Bortolasi L， Facci E， et al. The Dagradi-Serio-Iacono operation central pancreatectomy[J]. J Gastrointest Surg， 2007， 11(3)：364-376.
6.	Takeyoshi I， Ohwada S， Nakamura S， et al. Segmental pancreatectomy for mucinproducing pancreatic tumors[J]. Hepatogastroenterology， 1999， 46(28)：2585-2588.
7.	Roggin KK， Rudloff U， Blumgart LH， et al. Centralpancreatectomy revisited[J]. J Gastrointest Surg， 2006， 10(6)：804-812.
8.	Christein JD， Smoot RL， Farnell MB. Centralpancreatectomy：a technique for the resection of pancreaticneck lesions[J]. Arch Surg， 2006， 141(3)：293-299.
9.	Rotellar F， Pardo F， Montiel C， et al. Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy：a consecutive ninecase series at a single institution[J]. Ann Surg， 2008， 247(6)：938-944.
10.	Reber HA. Middle pancreatectomy：why I rarely do it?[J]. J Gastrointest Surg， 2007， 11(6)：730-732.
11.	Efron DT， Lillemoe KD， Cameron JL， et al. Central pancreatectomy with pancreaticogastrostomy for benign pancreatic pathology[J]. J Gastrointest Surg， 2004， 8(5)：532-538.
12.	Crippa S， Bassi C， Warshaw AL， et al. Middle pancreatectomy：indications， short- and long-term operative outcomes[J]. Ann Surg， 2007， 246(1)：69-76.
13.	Shimada K， Sakamoto Y， Esaki M， et al. Role of medial pancre-atectomy in the management of intraductal papillary mucinous neo-plasms and islet cell tumors of the pancreatic neck and body[J]. Dig Surg， 2008， 25(1)：46-51.
14.	Iacono C， Bortolasi L， Serio G. Indications and technique of central pancreatectomy-early and late results[J]. Langenbecks Arch Surg， 2005， 390(3)：266-271.
15.	Sperti C， Pasquali C， Ferronato A， et al. Median pancreatectomy for tumors of the neck and body of the pancreas[J]. J Am Coll Surg， 2000， 190(6)：711-716.
16.	Balzano G， Zerbi A， Veronesi P， et al. Surgical treatment of benign and borderline neoplasms of the pancreatic body[J]. Dig Surg， 2003， 20(6)：506-510.
17.	吴文铭，赵玉沛，廖泉，等. 胰腺节段切除术在胰腺良性肿瘤治疗中的应用[J]. 中国实用外科杂志， 2008， 28(1)：50-52.
18.	Okano K， Kakinoki K， Yachida S， et al. A simple and safe panc-reas transection using a stapling device for a distal pancreatectomy[J]. J Hepatobiliary Pancreat Surg， 2008， 15(4)：353-358.
19.	Kleef J， Diener MK， Z’graggen K， et al. Distal pancreatectomy risk factors for surgical failure in 302 consecutive cases[J]. Ann Surg， 2007， 245(4)：573-582.
20.	陈实，刘国华，邓侠兴，等. 胰腺中段节段性切除术(附40例报告)[J]. 中国实用外科杂志， 2010， 30(9)：777-779.
21.	苗毅，蒋奎荣，徐泽宽. 中段胰腺切除治疗胰腺良性或低度恶性肿瘤[J]. 中国实用外科杂志， 2008， 28(5)：346-349.
22.	Oida T， Mimatsu K， Kawasaki A， et al. Transduodenal pancreaticjuice drainage for preventing pancreatic fistula formation after distalpancreatectomy[J]. Hepatogastroenterology， 2011， 58(105)：177-182.
23.	沈柏用，詹茜，邓侠兴，等. 机器人手术系统在胰腺中段切除术中的应用[J]. 腹腔镜外科杂志， 2012， 17(7)：481-484.
24.	Giulianotti PC， Sbrana F， Bianco FM， et al. Robot-assisted laparoscopic middle pancreatectomy[J]. J Laparoendosc Adv Surg Tech A， 2010， 20(2)：135-139.
25.	Buchs NC， Addeo P， Bianco FM， et al. Outcomes of robot-assisted pancreaticoduodenectomy in patients older than 70 years：a comparative study[J]. World J Surg， 2010， 34(9)：2109-2114.

1. Bassi C， Dervenis C， Butturini G， et al. Postoperative pancreatic fistula：an international study group (ISGPF) definition[J]. J Surg， 2005， 138(1)：8-13.
2. 徐进，戴显伟，卜献. 胰腺中段切除术(附15例报道)[J]. 中国普外基础与临床杂志， 2009， 16(6)：478-480.
3. Muller MW， Friess H， Kleeff J， et al. Middle segmental pancre-atic resection：an option to treat brnign pancreatic body lesions[J]. Ann Surg， 2006， 244(6)：909-918.
4. Asanuma Y， Koyama K， Saito K， et al. An appraisal of segmentalpancreatetomy for benign tumors of the pancreatic body：a report of two cases[J]. Surg Today， 1993， 23(8)：733-736.
5. Iacono C， Bortolasi L， Facci E， et al. The Dagradi-Serio-Iacono operation central pancreatectomy[J]. J Gastrointest Surg， 2007， 11(3)：364-376.
6. Takeyoshi I， Ohwada S， Nakamura S， et al. Segmental pancreatectomy for mucinproducing pancreatic tumors[J]. Hepatogastroenterology， 1999， 46(28)：2585-2588.
7. Roggin KK， Rudloff U， Blumgart LH， et al. Centralpancreatectomy revisited[J]. J Gastrointest Surg， 2006， 10(6)：804-812.
8. Christein JD， Smoot RL， Farnell MB. Centralpancreatectomy：a technique for the resection of pancreaticneck lesions[J]. Arch Surg， 2006， 141(3)：293-299.
9. Rotellar F， Pardo F， Montiel C， et al. Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy：a consecutive ninecase series at a single institution[J]. Ann Surg， 2008， 247(6)：938-944.
10. Reber HA. Middle pancreatectomy：why I rarely do it?[J]. J Gastrointest Surg， 2007， 11(6)：730-732.
11. Efron DT， Lillemoe KD， Cameron JL， et al. Central pancreatectomy with pancreaticogastrostomy for benign pancreatic pathology[J]. J Gastrointest Surg， 2004， 8(5)：532-538.
12. Crippa S， Bassi C， Warshaw AL， et al. Middle pancreatectomy：indications， short- and long-term operative outcomes[J]. Ann Surg， 2007， 246(1)：69-76.
13. Shimada K， Sakamoto Y， Esaki M， et al. Role of medial pancre-atectomy in the management of intraductal papillary mucinous neo-plasms and islet cell tumors of the pancreatic neck and body[J]. Dig Surg， 2008， 25(1)：46-51.
14. Iacono C， Bortolasi L， Serio G. Indications and technique of central pancreatectomy-early and late results[J]. Langenbecks Arch Surg， 2005， 390(3)：266-271.
15. Sperti C， Pasquali C， Ferronato A， et al. Median pancreatectomy for tumors of the neck and body of the pancreas[J]. J Am Coll Surg， 2000， 190(6)：711-716.
16. Balzano G， Zerbi A， Veronesi P， et al. Surgical treatment of benign and borderline neoplasms of the pancreatic body[J]. Dig Surg， 2003， 20(6)：506-510.
17. 吴文铭，赵玉沛，廖泉，等. 胰腺节段切除术在胰腺良性肿瘤治疗中的应用[J]. 中国实用外科杂志， 2008， 28(1)：50-52.
18. Okano K， Kakinoki K， Yachida S， et al. A simple and safe panc-reas transection using a stapling device for a distal pancreatectomy[J]. J Hepatobiliary Pancreat Surg， 2008， 15(4)：353-358.
19. Kleef J， Diener MK， Z’graggen K， et al. Distal pancreatectomy risk factors for surgical failure in 302 consecutive cases[J]. Ann Surg， 2007， 245(4)：573-582.
20. 陈实，刘国华，邓侠兴，等. 胰腺中段节段性切除术(附40例报告)[J]. 中国实用外科杂志， 2010， 30(9)：777-779.
21. 苗毅，蒋奎荣，徐泽宽. 中段胰腺切除治疗胰腺良性或低度恶性肿瘤[J]. 中国实用外科杂志， 2008， 28(5)：346-349.
22. Oida T， Mimatsu K， Kawasaki A， et al. Transduodenal pancreaticjuice drainage for preventing pancreatic fistula formation after distalpancreatectomy[J]. Hepatogastroenterology， 2011， 58(105)：177-182.
23. 沈柏用，詹茜，邓侠兴，等. 机器人手术系统在胰腺中段切除术中的应用[J]. 腹腔镜外科杂志， 2012， 17(7)：481-484.
24. Giulianotti PC， Sbrana F， Bianco FM， et al. Robot-assisted laparoscopic middle pancreatectomy[J]. J Laparoendosc Adv Surg Tech A， 2010， 20(2)：135-139.
25. Buchs NC， Addeo P， Bianco FM， et al. Outcomes of robot-assisted pancreaticoduodenectomy in patients older than 70 years：a comparative study[J]. World J Surg， 2010， 34(9)：2109-2114.

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Central Pancreatectomy：Analysis of 29 Cases

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