Loading…
CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION?
Background: The aim of this study was to assess the technical feasibility, safety and outcome of central pancreatectomy (CP) with pancreaticogastrostomy or pancreaticojejunostomy in appropriately selected patients with benign central pancreatic pathology/trauma. Benign lesions/trauma of the pancrea...
Saved in:
Published in: | ANZ journal of surgery 2006-11, Vol.76 (11), p.987-995 |
---|---|
Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883 |
---|---|
cites | cdi_FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883 |
container_end_page | 995 |
container_issue | 11 |
container_start_page | 987 |
container_title | ANZ journal of surgery |
container_volume | 76 |
creator | Johnson, Maria A. Rajendran, Shanmugasundaram Balachandar, Tirupporur G. Kannan, Devy G. Jeswanth, Satyanesan Ravichandran, Palaniappan Surendran, Rajagopal |
description | Background: The aim of this study was to assess the technical feasibility, safety and outcome of central pancreatectomy (CP) with pancreaticogastrostomy or pancreaticojejunostomy in appropriately selected patients with benign central pancreatic pathology/trauma. Benign lesions/trauma of the pancreatic neck and proximal body pose an interesting surgical challenge. CP is an operation that allows resection of benign tumours located in the pancreatic isthmus that are not suitable for enucleation.
Methods: Between January 2000 and December 2005, eight central pancreatectomies were carried out. There were six women and two men with a mean age of 35.7 years. The cephalic pancreatic stump is oversewn and the distal stump is anastomosed end–to–end with a Roux‐en‐Y jejunal loop in two and with the stomach in six patients. The indications for CP were: non‐functional islet cell tumours in two patients, traumatic pancreatic neck transection in two and one each for insulinoma, solid pseudopapillary tumour, splenic artery pseudoaneurysm and pseudocyst. Pancreatic exocrine function was evaluated by a questionnaire method. Endocrine function was evaluated by blood glucose level.
Results: Morbidity rate was 37.5% with no operative mortality. Mean postoperative hospital stay was 10.5 days. Neither of the patients developed pancreatic fistula nor required reoperations or interventional radiological procedures. At a mean follow up of 26.4 months, no patient had evidence of endocrine or exocrine pancreatic insufficiency, all the patients were alive and well without clinical and imaging evidence of disease recurrence.
Conclusion: When technically feasible, CP is a safe, pancreas‐preserving pancreatectomy for non‐enucleable benign pancreatic pathology/trauma confined to pancreatic isthmus that allows for cure of the disease without loss of substantial amount of normal pancreatic parenchyma with preservation of exocrine/endocrine function and without interruption of enteric continuity. |
doi_str_mv | 10.1111/j.1445-2197.2006.03916.x |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68976741</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68976741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883</originalsourceid><addsrcrecordid>eNqNUd1u0zAYtRCIjW2vgHzFXTI78V-QEPIyLwu0zpS4ReXGSltXatfSkayiezMeD4eUssv5xkffd875jnQAgBiF2L_LVYgJoUGEEx5GCLEQxQlm4f4VOD0uXh8wJnF8At617QohzFhC34ITzBEllIhT8DtV2pRyAO-kTksljUpNMZzAm6KEV0rnmT5u8tRDc1sMimxy6TWjofwI8wrmBkroCVWh5dVA_eNXwV2pKlWOc53BtNAd9CZjBatRmeWpv1l5F6OyCZQDo0rdb03h51Jfy_IaDuUXn-NZgM4xNXmhP5-DN4t63bqLw38GRjfKpLeBj9eZBzOCKAtYRBxHLkkoZy4R86gmIo5mCYkxRXMeTRkXTGAmprSmiFEhOCKREIjN2aIWIj4DH3rfh2b7c-faR7tZtjO3Xtc_3HbXWiYSzjjBnih64qzZtm3jFvahWW7q5sliZLvW7Mp2hdiuHNu1Zv-2Zvde-v5wYzfduPl_4aEmT_jUE34t1-7pxcZW6qpDXh_0-mX76PZHfd3cW8ZjTu03ndnSZOn3rzqy4_gPLvSlxA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68976741</pqid></control><display><type>article</type><title>CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION?</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Johnson, Maria A. ; Rajendran, Shanmugasundaram ; Balachandar, Tirupporur G. ; Kannan, Devy G. ; Jeswanth, Satyanesan ; Ravichandran, Palaniappan ; Surendran, Rajagopal</creator><creatorcontrib>Johnson, Maria A. ; Rajendran, Shanmugasundaram ; Balachandar, Tirupporur G. ; Kannan, Devy G. ; Jeswanth, Satyanesan ; Ravichandran, Palaniappan ; Surendran, Rajagopal</creatorcontrib><description>Background: The aim of this study was to assess the technical feasibility, safety and outcome of central pancreatectomy (CP) with pancreaticogastrostomy or pancreaticojejunostomy in appropriately selected patients with benign central pancreatic pathology/trauma. Benign lesions/trauma of the pancreatic neck and proximal body pose an interesting surgical challenge. CP is an operation that allows resection of benign tumours located in the pancreatic isthmus that are not suitable for enucleation.
Methods: Between January 2000 and December 2005, eight central pancreatectomies were carried out. There were six women and two men with a mean age of 35.7 years. The cephalic pancreatic stump is oversewn and the distal stump is anastomosed end–to–end with a Roux‐en‐Y jejunal loop in two and with the stomach in six patients. The indications for CP were: non‐functional islet cell tumours in two patients, traumatic pancreatic neck transection in two and one each for insulinoma, solid pseudopapillary tumour, splenic artery pseudoaneurysm and pseudocyst. Pancreatic exocrine function was evaluated by a questionnaire method. Endocrine function was evaluated by blood glucose level.
Results: Morbidity rate was 37.5% with no operative mortality. Mean postoperative hospital stay was 10.5 days. Neither of the patients developed pancreatic fistula nor required reoperations or interventional radiological procedures. At a mean follow up of 26.4 months, no patient had evidence of endocrine or exocrine pancreatic insufficiency, all the patients were alive and well without clinical and imaging evidence of disease recurrence.
Conclusion: When technically feasible, CP is a safe, pancreas‐preserving pancreatectomy for non‐enucleable benign pancreatic pathology/trauma confined to pancreatic isthmus that allows for cure of the disease without loss of substantial amount of normal pancreatic parenchyma with preservation of exocrine/endocrine function and without interruption of enteric continuity.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/j.1445-2197.2006.03916.x</identifier><identifier>PMID: 17054548</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Abdominal Injuries - complications ; Abdominal Injuries - diagnosis ; Abdominal Injuries - surgery ; Adolescent ; Adult ; benign pancreatic lesion ; central pancreatectomy ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Length of Stay ; Male ; Middle Aged ; Pancreas - injuries ; pancreas-preserving pancreatectomy ; Pancreatectomy - methods ; Pancreatic Diseases - diagnosis ; Pancreatic Diseases - etiology ; Pancreatic Diseases - surgery ; pancreatic trauma ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>ANZ journal of surgery, 2006-11, Vol.76 (11), p.987-995</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883</citedby><cites>FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17054548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Maria A.</creatorcontrib><creatorcontrib>Rajendran, Shanmugasundaram</creatorcontrib><creatorcontrib>Balachandar, Tirupporur G.</creatorcontrib><creatorcontrib>Kannan, Devy G.</creatorcontrib><creatorcontrib>Jeswanth, Satyanesan</creatorcontrib><creatorcontrib>Ravichandran, Palaniappan</creatorcontrib><creatorcontrib>Surendran, Rajagopal</creatorcontrib><title>CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION?</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background: The aim of this study was to assess the technical feasibility, safety and outcome of central pancreatectomy (CP) with pancreaticogastrostomy or pancreaticojejunostomy in appropriately selected patients with benign central pancreatic pathology/trauma. Benign lesions/trauma of the pancreatic neck and proximal body pose an interesting surgical challenge. CP is an operation that allows resection of benign tumours located in the pancreatic isthmus that are not suitable for enucleation.
Methods: Between January 2000 and December 2005, eight central pancreatectomies were carried out. There were six women and two men with a mean age of 35.7 years. The cephalic pancreatic stump is oversewn and the distal stump is anastomosed end–to–end with a Roux‐en‐Y jejunal loop in two and with the stomach in six patients. The indications for CP were: non‐functional islet cell tumours in two patients, traumatic pancreatic neck transection in two and one each for insulinoma, solid pseudopapillary tumour, splenic artery pseudoaneurysm and pseudocyst. Pancreatic exocrine function was evaluated by a questionnaire method. Endocrine function was evaluated by blood glucose level.
Results: Morbidity rate was 37.5% with no operative mortality. Mean postoperative hospital stay was 10.5 days. Neither of the patients developed pancreatic fistula nor required reoperations or interventional radiological procedures. At a mean follow up of 26.4 months, no patient had evidence of endocrine or exocrine pancreatic insufficiency, all the patients were alive and well without clinical and imaging evidence of disease recurrence.
Conclusion: When technically feasible, CP is a safe, pancreas‐preserving pancreatectomy for non‐enucleable benign pancreatic pathology/trauma confined to pancreatic isthmus that allows for cure of the disease without loss of substantial amount of normal pancreatic parenchyma with preservation of exocrine/endocrine function and without interruption of enteric continuity.</description><subject>Abdominal Injuries - complications</subject><subject>Abdominal Injuries - diagnosis</subject><subject>Abdominal Injuries - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>benign pancreatic lesion</subject><subject>central pancreatectomy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pancreas - injuries</subject><subject>pancreas-preserving pancreatectomy</subject><subject>Pancreatectomy - methods</subject><subject>Pancreatic Diseases - diagnosis</subject><subject>Pancreatic Diseases - etiology</subject><subject>Pancreatic Diseases - surgery</subject><subject>pancreatic trauma</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqNUd1u0zAYtRCIjW2vgHzFXTI78V-QEPIyLwu0zpS4ReXGSltXatfSkayiezMeD4eUssv5xkffd875jnQAgBiF2L_LVYgJoUGEEx5GCLEQxQlm4f4VOD0uXh8wJnF8At617QohzFhC34ITzBEllIhT8DtV2pRyAO-kTksljUpNMZzAm6KEV0rnmT5u8tRDc1sMimxy6TWjofwI8wrmBkroCVWh5dVA_eNXwV2pKlWOc53BtNAd9CZjBatRmeWpv1l5F6OyCZQDo0rdb03h51Jfy_IaDuUXn-NZgM4xNXmhP5-DN4t63bqLw38GRjfKpLeBj9eZBzOCKAtYRBxHLkkoZy4R86gmIo5mCYkxRXMeTRkXTGAmprSmiFEhOCKREIjN2aIWIj4DH3rfh2b7c-faR7tZtjO3Xtc_3HbXWiYSzjjBnih64qzZtm3jFvahWW7q5sliZLvW7Mp2hdiuHNu1Zv-2Zvde-v5wYzfduPl_4aEmT_jUE34t1-7pxcZW6qpDXh_0-mX76PZHfd3cW8ZjTu03ndnSZOn3rzqy4_gPLvSlxA</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Johnson, Maria A.</creator><creator>Rajendran, Shanmugasundaram</creator><creator>Balachandar, Tirupporur G.</creator><creator>Kannan, Devy G.</creator><creator>Jeswanth, Satyanesan</creator><creator>Ravichandran, Palaniappan</creator><creator>Surendran, Rajagopal</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION?</title><author>Johnson, Maria A. ; Rajendran, Shanmugasundaram ; Balachandar, Tirupporur G. ; Kannan, Devy G. ; Jeswanth, Satyanesan ; Ravichandran, Palaniappan ; Surendran, Rajagopal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Abdominal Injuries - complications</topic><topic>Abdominal Injuries - diagnosis</topic><topic>Abdominal Injuries - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>benign pancreatic lesion</topic><topic>central pancreatectomy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pancreas - injuries</topic><topic>pancreas-preserving pancreatectomy</topic><topic>Pancreatectomy - methods</topic><topic>Pancreatic Diseases - diagnosis</topic><topic>Pancreatic Diseases - etiology</topic><topic>Pancreatic Diseases - surgery</topic><topic>pancreatic trauma</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Maria A.</creatorcontrib><creatorcontrib>Rajendran, Shanmugasundaram</creatorcontrib><creatorcontrib>Balachandar, Tirupporur G.</creatorcontrib><creatorcontrib>Kannan, Devy G.</creatorcontrib><creatorcontrib>Jeswanth, Satyanesan</creatorcontrib><creatorcontrib>Ravichandran, Palaniappan</creatorcontrib><creatorcontrib>Surendran, Rajagopal</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Maria A.</au><au>Rajendran, Shanmugasundaram</au><au>Balachandar, Tirupporur G.</au><au>Kannan, Devy G.</au><au>Jeswanth, Satyanesan</au><au>Ravichandran, Palaniappan</au><au>Surendran, Rajagopal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION?</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2006-11</date><risdate>2006</risdate><volume>76</volume><issue>11</issue><spage>987</spage><epage>995</epage><pages>987-995</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background: The aim of this study was to assess the technical feasibility, safety and outcome of central pancreatectomy (CP) with pancreaticogastrostomy or pancreaticojejunostomy in appropriately selected patients with benign central pancreatic pathology/trauma. Benign lesions/trauma of the pancreatic neck and proximal body pose an interesting surgical challenge. CP is an operation that allows resection of benign tumours located in the pancreatic isthmus that are not suitable for enucleation.
Methods: Between January 2000 and December 2005, eight central pancreatectomies were carried out. There were six women and two men with a mean age of 35.7 years. The cephalic pancreatic stump is oversewn and the distal stump is anastomosed end–to–end with a Roux‐en‐Y jejunal loop in two and with the stomach in six patients. The indications for CP were: non‐functional islet cell tumours in two patients, traumatic pancreatic neck transection in two and one each for insulinoma, solid pseudopapillary tumour, splenic artery pseudoaneurysm and pseudocyst. Pancreatic exocrine function was evaluated by a questionnaire method. Endocrine function was evaluated by blood glucose level.
Results: Morbidity rate was 37.5% with no operative mortality. Mean postoperative hospital stay was 10.5 days. Neither of the patients developed pancreatic fistula nor required reoperations or interventional radiological procedures. At a mean follow up of 26.4 months, no patient had evidence of endocrine or exocrine pancreatic insufficiency, all the patients were alive and well without clinical and imaging evidence of disease recurrence.
Conclusion: When technically feasible, CP is a safe, pancreas‐preserving pancreatectomy for non‐enucleable benign pancreatic pathology/trauma confined to pancreatic isthmus that allows for cure of the disease without loss of substantial amount of normal pancreatic parenchyma with preservation of exocrine/endocrine function and without interruption of enteric continuity.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>17054548</pmid><doi>10.1111/j.1445-2197.2006.03916.x</doi><tpages>9</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1445-1433 |
ispartof | ANZ journal of surgery, 2006-11, Vol.76 (11), p.987-995 |
issn | 1445-1433 1445-2197 |
language | eng |
recordid | cdi_proquest_miscellaneous_68976741 |
source | Wiley-Blackwell Read & Publish Collection |
subjects | Abdominal Injuries - complications Abdominal Injuries - diagnosis Abdominal Injuries - surgery Adolescent Adult benign pancreatic lesion central pancreatectomy Feasibility Studies Female Follow-Up Studies Humans Length of Stay Male Middle Aged Pancreas - injuries pancreas-preserving pancreatectomy Pancreatectomy - methods Pancreatic Diseases - diagnosis Pancreatic Diseases - etiology Pancreatic Diseases - surgery pancreatic trauma Retrospective Studies Tomography, X-Ray Computed Treatment Outcome |
title | CENTRAL PANCREATECTOMY FOR BENIGN PANCREATIC PATHOLOGY/TRAUMA: IS IT A REASONABLE PANCREAS-PRESERVING CONSERVATIVE SURGICAL STRATEGY ALTERNATIVE TO STANDARD MAJOR PANCREATIC RESECTION? |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T19%3A49%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=CENTRAL%20PANCREATECTOMY%20FOR%20BENIGN%20PANCREATIC%20PATHOLOGY/TRAUMA:%20IS%20IT%20A%20REASONABLE%20PANCREAS-PRESERVING%20CONSERVATIVE%20SURGICAL%20STRATEGY%20ALTERNATIVE%20TO%20STANDARD%20MAJOR%20PANCREATIC%20RESECTION?&rft.jtitle=ANZ%20journal%20of%20surgery&rft.au=Johnson,%20Maria%20A.&rft.date=2006-11&rft.volume=76&rft.issue=11&rft.spage=987&rft.epage=995&rft.pages=987-995&rft.issn=1445-1433&rft.eissn=1445-2197&rft_id=info:doi/10.1111/j.1445-2197.2006.03916.x&rft_dat=%3Cproquest_cross%3E68976741%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4056-624e70e99576e98d2a4832c943150d72b67868168b5a50658870428806d6fa883%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=68976741&rft_id=info:pmid/17054548&rfr_iscdi=true |