Organ preserving pancreatectomy: clinical analysis of 28 cases

Abstract

Objective To discuss the proper surgical management for pancreatic benign and lowgrade malignancies.Methods The clinical data of 28 cases who accepted organ preserving pancreatectomy from May 2005 to June 2011 was analyzed retrospectively.Results Seven cases underwent duodenumpreserving resection of the head of the pancreas,9 cases underwent middle segmental pancreatectomy,5 cases underwent spleen-preserving distal pancreatectomy,7 cases underwent partial pancreatectomy.Pancreatic fistula occurred in one of 7 cases who accepted duodenum-preserving resection of the head of the pancreas,pancreatic fistula developed in one of 9 cases who accepted middle segmental pancreatectomy.Fat liquefaction occurred in 2 of 7 cases after partial pancreatectomy.These complications were cured by conservative treatment.All cases were followed-up from 6 months to six years.There was no tumor recurrence nor new-onset diabetes mellitus,steatorrhea and pancreatic pseudocyst formation.Conclusions Organ preserving pancreatectomy is effective treatment for pancreatic benign and low-grade malignant tumors. Key words: Pancreatic neoplasms; Pancreatectomy