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Medial pancreatectomy
Author(s) -
Rotman Nelly,
Fagniez PierreLouis
Publication year - 2000
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340070014
Subject(s) - enucleation , medicine , pancreatectomy , pancreas , surgery , resection , distal pancreatectomy
Abstract The surgical treatment of benign tumors of the midportion of the pancreas usually consists of enucleation or formal pancreatectomy. To avoid extended pancreatectomy, a limited resection of the neck of the pancreas has been proposed when enucleation is not feasible. Seven published series report a total number of 78 patients treated by this technique. No postoperative mortality was reported. The operative morbidity ranged from 0% to 40%, mainly due to pancreatic fistulas, which mostly healed spontaneously. In the long term no diabetes mellitus and/or exocrine insufficiency was observed. After resection of low‐grade malignant tumors, there was no local recurrence. Medial pancreatectomy is a safe method for the treatment of benign or low‐grade malignant tumors of the neck of the pancreas.