Conventional pancreatic resections for pancreatic neck and body diseases include pancreaticoduodenectomy, distal pancreatectomy with or without splenectomy, and total pancreatectomy. Recent studies have reported encouraging results of non-traditional pancreatic resections, including central pancreatectomy (CP), for central pancreatic disease. This surgical approach offers the potentials of low postoperative morbidity and preservation of metabolic functions. This study performs a systematic review on CP. A comprehensive literature search was conducted, for the period 1992-2015, on three worldwide databases: PubMed, Scopus, ISI-Web of Knowledge. We focused on indications, morbidity and mortality of this surgical procedure. The review shows that CP is particularly suitable for small-medium size diseases localized into the pancreatic body. This procedure is associated with an increased postoperative morbidity but an excellent postoperative pancreatic function. CP is a safe and effective procedure when performed following the right indications.
作者:Michele, Santangelo;Anna, Esposito;Vincenzo, Tammaro;Armando, Calogero;Carmen, Criscitiello;Giuseppe, Roberti;Maria, Candida;Niccolò, Rupealta;Antonio, Pisani;Nicola, Carlomagno
来源:International journal of surgery (London, England) 2016 年 28 Suppl 1卷