Middle Segmental Pancreatic Resection - A Single-centre Experience

作者：Papp Robert; Cseke Laszlo; Horvath Oers Peter; Kelemen Dezso^*

来源：Hepato-Gastroenterology, 2011, 58(106): 612-615.

• Middle segmental pancreatic resection
• Benign and low-grade malignant lesions
• Pancreatic rupture
• Pancreatojejunostomy
• Stenting
• Pancreatic fistula
• Parenchyma-saving operation
• Exocrine and endocrine function

Background/Aims: A single-centre experience gained by middle segmental pancreatic resection and a brief survey of technique and indications are reported.
Methodology: During the past 7 years 7 middle segmental pancreatic resections were performed for benign and low-grade malignant pancreatic lesions and in 1 case for pancreatic trauma. The preferred method was anastomosing the distal remnant to a Roux-en-Y limb, closure of the proximal cut end with sutures and in the last 4 patients covering this suture line with the limb.
Results: There were 3 complications out of 8 cases (37%) and the surgical morbidity rate was 12%. It did not come to reoperation and lethal outcome. During the follow-up time both the endocrine and exocrine functions remained normal in all patients.
Conclusions: Middle segmental pancreatic resection could be carried out with an acceptable morbidity rate. However the proper indication and surgical technique are important factors in achieving advantageous results.

• 出版日期2011-4