Central pancreatectomy with pancreaticogastrostomy reconstruction: A brief report and video technique

Low grade tumors located in the neck of the pancreas present a unique surgical challenge. Subtotal pancreatectomy results in significant loss of pancreatic gland and function, while pancreaticoduodenectomy may be too aggressive for these lesions. We present a case of a patient with a well differenti...

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Bibliographic Details
Published in:The American journal of surgery 2020-05, Vol.219 (5), p.828-830
Main Authors: Bonds, Morgan, Rekman, Janelle, Rocha, Flavio G.
Format: Article
Language:English
Subjects:
Central pancreatectomy
Complications
Decision making
Fistula
Neck
Neuroendocrine tumors
Pancreas
Pancreatectomy
Pancreaticoduodenectomy
Parenchymal sparing resection
Patients
Stomach
Surgical techniques
Surgical video
Sutures
Tumors
Ultrasonic imaging
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Summary:Low grade tumors located in the neck of the pancreas present a unique surgical challenge. Subtotal pancreatectomy results in significant loss of pancreatic gland and function, while pancreaticoduodenectomy may be too aggressive for these lesions. We present a case of a patient with a well differentiated neuroendocrine tumor in the neck of the pancreas who underwent a central pancreatectomy with pancreaticogastrostomy reconstruction. Patient selection and technical aspects of the procedure are described. The decision to perform a central pancreatectomy should not be made lightly as complications are frequent. Careful patient selection is imperative. •Certain lesions in the pancreas are amenable for parenchymal sparing resection (PSR).•PSR surgery results in lower rates of pancreatic endocrine dysfunction.•Complication rates after PSR are higher than formal resection.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2020.01.037