Middle Pancreatectomy - Own Experience

• Authors: Beata Jabłońska , Dymitr Żaworonkow , Daria Dranka-Bojarowska , Paweł Musialski , Paweł Lampe
• 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.

Keywords

EN

middle pancreatectomy; middle segment pancreatetomy; central pancreatectomy; median pancreatectomy

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 5
• Pages: 237-243

Dates

published

1 - 5 - 2011

online

24 - 6 - 2011

Contributors

author

Beata Jabłońska

• Department of Gastrointestinal Surgery, Silesian Medical University in Katowice

author

Dymitr Żaworonkow

• Department of Gastrointestinal Surgery, Silesian Medical University in Katowice

author

Daria Dranka-Bojarowska

• Department of Gastrointestinal Surgery, Silesian Medical University in Katowice

author

Paweł Musialski

• Department of Gastrointestinal Surgery, Silesian Medical University in Katowice

author

Paweł Lampe

• Department of Gastrointestinal Surgery, Silesian Medical University in Katowice

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Identifiers

DOI

10.2478/v10035-011-0037-1