What indication, morbidity and mortality for central pancreatectomy in oncological surgery? A systematic review

Michele Santangelo, Anna Esposito, Vincenzo Tammaro, Armando Calogero, Carmen Criscitiello, Giuseppe Roberti, Maria Candida, Niccolò Rupealta, Antonio Pisani, Nicola Carlomagno

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)S172-S176
JournalInternational Journal of Surgery
Volume28
DOIs
Publication statusPublished - Apr 1 2016

Keywords

  • Central pancreatectomy
  • Pancreatic fistula
  • Pancreatic insufficiency
  • Segmental resection pancreas

ASJC Scopus subject areas

  • Surgery

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