Central pancreatectomy for benign pancreatic lesions

Kimberly M. Brown, Margo Shoup, Adam Abodeely, Pam Hodul, John J. Brems, Gerard V. Aranha

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Introduction. Traditional resections for pancreatic malignancies include distal pancreatectomy with splenectomy and pancrearicoduodenectomy (PD). Alternative resections for benign pancreatic disease are used to minimize the resection of normal pancreatic and splenic parenchyma. This study describes the use of central pancreatectomy (CP) in 10 patients. Methods. A retrospective chart review of all patients undergoing CP between May 1999 and February 2004 was undertaken. Results. Ten patients (eight female, two male) underwent CP for benign pancreatic disease. Median age was 59 years (range 21-75). Eight patients presented with abdominal pain, two of whom also had weight loss. One patient each presented with hypoglycemia and as an incidental finding. Median operative time was 255 min (range 160-380 min). Proximal pancreatic remnant was stapled in five and oversewn in five. Distal pancreatic remnant was managed with pancreaticojejunostomy in six patients and pancreatjcogastrostomy in four patients. There were no 30-day mortalities. Pancreatic fistula developed in four patients (40%), and all resolved without operative intervention. All patients are alive with no recurrence and no new endocrine or exocrine dysfunction. Conclusion. CP has similar morbidity and mortality rates to traditional pancreatic resections and may offer a lower incidence of diabetes and exocrine insufficiency.

Original languageEnglish (US)
Pages (from-to)142-147
Number of pages6
JournalHPB
Volume8
Issue number2
DOIs
StatePublished - Apr 2006
Externally publishedYes

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Pancreatectomy
Pancreatic Diseases
Pancreaticojejunostomy
Pancreatic Fistula
Incidental Findings
Mortality
Splenectomy
Operative Time
Hypoglycemia
Abdominal Pain
Weight Loss
Morbidity
Recurrence
Incidence

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Brown, K. M., Shoup, M., Abodeely, A., Hodul, P., Brems, J. J., & Aranha, G. V. (2006). Central pancreatectomy for benign pancreatic lesions. HPB, 8(2), 142-147. https://doi.org/10.1080/13651820510037611

Central pancreatectomy for benign pancreatic lesions. / Brown, Kimberly M.; Shoup, Margo; Abodeely, Adam; Hodul, Pam; Brems, John J.; Aranha, Gerard V.

In: HPB, Vol. 8, No. 2, 04.2006, p. 142-147.

Research output: Contribution to journalArticle

Brown, KM, Shoup, M, Abodeely, A, Hodul, P, Brems, JJ & Aranha, GV 2006, 'Central pancreatectomy for benign pancreatic lesions', HPB, vol. 8, no. 2, pp. 142-147. https://doi.org/10.1080/13651820510037611
Brown KM, Shoup M, Abodeely A, Hodul P, Brems JJ, Aranha GV. Central pancreatectomy for benign pancreatic lesions. HPB. 2006 Apr;8(2):142-147. https://doi.org/10.1080/13651820510037611
Brown, Kimberly M. ; Shoup, Margo ; Abodeely, Adam ; Hodul, Pam ; Brems, John J. ; Aranha, Gerard V. / Central pancreatectomy for benign pancreatic lesions. In: HPB. 2006 ; Vol. 8, No. 2. pp. 142-147.
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