PL EN


Preferences help
enabled [disable] Abstract
Number of results
2011 | 83 | 5 | 237-243
Article title

Middle Pancreatectomy - Own Experience

Content
Title variants
Languages of publication
EN
Abstracts
EN
The aim of the study was to analyse early results after middle pancreatectomy based on our experience.Material and methods. During the period between 2008 and 2009, 154 pancreatic resections were performed at the Department of Gastrointestinal Surgery, Silesian Medical University in Katowice. The following procedures were performed: 109 (70.78%) pancreatoduodenectomies, 32 (20.78%) distal pancreatectomies, 9 (5.84%) middle pancreatectomies, 3 (1.94%) total pancreatic resections, and 1 (0.65%) subtotal pancreatic resection. Early results in case of nine middle pancreatectomies were subject to analysis.Results. Average hospitalization period amounted to 24.28 days (ranging between 8 and 57 days). Mean hospitalization period after surgery amounted to 20.71 days (ranging between 6 and 54 days). Average duration of the surgical procedure amounted to 3.6 hours (ranging between 2.25 and 4 hours). Wirsung's duct required drainage in 4 (44.4%) patients. Pancreatoenterostomy was performed in 5 (55.5%) patients. Early postoperative complications were observed in three (33.3%) patients. The most common complications included wound suppuration and intra-abdominal abscess development observed in two (22.2%) patients. Pancreatic fistula development during the postoperative period was observed in case of one (11.1%) patient. Other early postoperative complications included peritoneal cavity hemorrhage (1-11.1%) and pancreatic necrosis (1-11.1%). Two (2.22%) reoperations were required. Early postoperative mortality amounted to 0%.Conclusions. Middle pancreatectomy operations performed in experienced centers are considered as safe procedures with a low rate of complications. The most common indication for middle pancreatectomy is the diagnosis of a benign pancreatic tumor.
Publisher

Year
Volume
83
Issue
5
Pages
237-243
Physical description
Dates
published
1 - 5 - 2011
online
24 - 6 - 2011
Contributors
  • Department of Gastrointestinal Surgery, Silesian Medical University in Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University in Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University in Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University in Katowice
author
  • Department of Gastrointestinal Surgery, Silesian Medical University in Katowice
References
  • Shikano T, Nakao A, Kodera Y et al.: Middle pancreatectomy: safety and long-term results. Surgery 2010; 147(1): 21-29.[WoS]
  • Sperti C, Beltrame V, Milanetto AC et al.: Parenchyma-sparing pancreatectomies for benign or border-line tumors of the pancreas. World J Gastrointest Oncol 2010; 2(6): 272-81.
  • Chan C, Podgaetz E, Torres-Villalobos G et al.: Central pancreatectomy as an indication for various benign pancreatic tumors. Am Surg 2004; 70(4): 304-06.
  • Crippa S, Bassi C, Warshaw AL et al.: Middle pancreatectomy: indications, short- and long-term operative outcomes. Ann Surg 2007; 246(1): 69-76.[WoS]
  • Iacono C, Bortolasi L, Serio G: Indications and technique of central pancreatectomy-early and late results. Langenbecks Arch Surg 2005; 390(3): 266-71.
  • Allendorf JD, Schrope BA, Lauerman MH et al.: Postoperative glycemic control after central pancreatectomy for mid-gland lesions. World J Surg 2007; 31(1): 164-68.[Crossref][WoS]
  • Zhou J, Dong M, Kong F et al.: Central pancreatectomy for benign tumors of the neck and body of the pancreas: report of eight cases. J Surg Oncol 2009; 100(3): 273-76.[Crossref][WoS][PubMed]
  • Hirono S, Tani M, Kawai M et al.: A central pancreatectomy for benign or low-grade malignant neoplasms. J Gastrointest Surg 2009; 13(9): 1659-65.[Crossref][WoS]
  • Müller MW, Assfalg V, Michalski CW et al.: Middle segmental pancreatic resection: an organ-preserving option for benign lesions. Chirurg 2009; 80(1): 14-21.[WoS]
  • Brown KM, Shoup M, Abodeely A et al.: Central pancreatectomy for benign pancreatic lesions. HPB (Oxford) 2006; 8(2): 142-47.[PubMed]
  • Shah OJ, Robbani I, Nazir P et al.: Central pancreatectomy: a new technique for resection of selected pancreatic tumors. Hepatobiliary Pancreat Dis Int 2009; 8(1): 93-96.
  • Shibata S, Sato T, Andoh H et al.: Outcomes and indications of segmental pancreatectomy. Comparison with distal pancreatectomy. Dig Surg 2004; 21(1): 48-53.[Crossref][PubMed]
  • Christein JD, Smoot RL, Farnell MB: Central pancreatectomy: a technique for the resection of pancreatic neck lesions. Arch Surg 2006; 141(3): 293-99.
  • Warshaw AL, Rattner DW, Fernández-del Castillo C et al.: Middle segment pancreatectomy: a novel technique for conserving pancreatic tissue. Arch Surg 1998; 133(3): 327-31.
  • Christein JD, Kim AW, Golshan MA et al.: Central pancreatectomy for the resection of benign or low malignant potential neoplasms. World J Surg 2003; 27(5): 595-98.[Crossref]
  • Müller MW, Friess H, Kleeff J et al.: Middle segmental pancreatic resection: An option to treat benign pancreatic body lesions. Ann Surg 2006; 244(6): 909-18.
  • Huang H, Dong X, Gao SL et al.: Conservative resection for benign tumors of the proximal pancreas. World J Gastroenterol 2009; 15(32): 4044-48.[WoS][Crossref]
  • Guillemin P, Bessot M: Chronic calcifying pancreatitis in renal tuberculosis: pancreatojejunostomy using an original technic. Mem Acad Chir (Paris) 1957; 83: 869-71.
  • Dagradi A, Serio G: Pancreatectomia intermedia. In: Enciclopedia Medicam Italiana: Pancreas, vol. 11. Florence: Scientifiche; 1984: 850-51.
  • Iacono C, Bortolasi L, Facci E et al.: The Dagradi-Serio-Iacono operation central pancreatectomy. J Gastrointest Surg 2007; 11(3): 364-76.[WoS][PubMed][Crossref]
  • Aranha GV, Hodul PJ, Creech S et al.: Zero mortality after 152 consecutive pancreaticoduodenectomies with pancreaticogastrostomy. J Am Coll Surg 2003; 197: 223-31.
  • Balcom JH, Rattner DW, Warshaw AL et al.: Ten-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization. Arch Surg 2001; 136: 391-98.
  • Sakaguchi T, Nakamura S, Suzuki S et al.: Marginal ulceration after pylorus-preserving pancreaticoduodenectomy. Hepatobiliary Pancreat Surg 2000; 7: 193-97.[Crossref]
  • Aldridge MC, Williamson RC: Distal pancreatectomy with and without splenectomy. Br J Surg 1991; 78: 976-79.
  • Fujita F, Lyass S, Otsuka K et al.: Portal vein thrombosis following splenectomy: identification of risk factors. Am Surg 2003; 69: 951-56.
  • Sauvanet A, Partensky C, Sastre B et al.: Medial pancreatectomy: a multi-institutional retrospective study of 53 patients by the French Pancreas Club. Surgery 2002; 132: 836-43.
  • Jones RC: Management of pancreatic trauma. Ann Surg 1978; 187: 555-64.
  • Yasugi H, Mizumoto R, Sakurai H et al.: Changes in carbohydrate metabolism and endocrine function of remnant pancreas after major pancreatic resection. Am J Surg 1976; 132: 577-80.
  • Bassi C, Dervenis C, Butturini G et al.: Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 2005; 138: 8-13.
  • Sa Cunha A, Rault A, Beau C et al.: Laparoscopic central pancreatectomy: single institution experience of 6 patients. Surgery 2007; 142: 405-09.
  • Rotellar F, Pardo F, Montiel C et al.: Totally laparoscopic Rouxen-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy: a consecutive nine-case series at a single institution. Ann Surg 2008; 247: 938-44.[WoS]
  • Wayne M, Neragi-Miandoab S, Kasmin F et al.: Central pancreatectomy without anastomosis. World J Surg Oncol 2009; 7: 67.[PubMed][WoS][Crossref]
  • Chirletti P, Peparini N, Caronna R et al.: Rouxen-Y end-to-end and end-to-side double pancreaticojejunostomy: application of the reconstructive method of the Beger procedure to central pancreatectomy. Langenbecks Arch Surg 2010; 395(1): 89-93.[WoS]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-011-0037-1
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.