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Parenchyma‐sparing resections for pancreatic neoplasms
Author(s) -
Crippa Stefano,
Boninsegna Letizia,
Partelli Stefano,
Falconi Massimo
Publication year - 2010
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-009-0224-1
Subject(s) - enucleation , medicine , parenchyma , pancreas , surgery , pancreatectomy , endocrine system , resection , general surgery , radiology , pathology , hormone
Background/purpose In recent years there has been an increase in the indications for pancreatic resection of benign or low‐grade malignant lesions, especially in young patients with long life expectancy. In this setting, patients may benefit from parenchyma‐sparing resections in order to decrease the risk of development of exocrine/endocrine insufficiency. Methods A review of the literature and authors experience was undertaken. Results Parenchyma‐sparing resections of the pancreas including enucleation, middle pancreatectomy (MP) and middle‐preserving pancreatectomy are described. Short and long‐term outcomes after surgery are analyzed with special regard to postoperative morbidity/mortality, and oncological and functional long‐term results. Conclusions Parenchyma‐sparing resections are safe and effective procedures for treatment of benign and low‐grade malignant neoplasms. Despite a significant postoperative morbidity they are associated with good long‐term functional and oncological results. Enucleation should preferentially be performed laparoscopically whenever possible.