Middle segmental pancreatic resection--a single-centre experience
Papp, Róbert.; Cseke, László.; Horváth, O.Péter.; Kelemen, D.
Hepato-Gastroenterology 58(106): 612-615
2011
ISSN/ISBN: 0172-6390 PMID: 21661441 Document Number: 654048
A single-centre experience gained by middle segmental pancreatic resection and a brief survey of technique and indications are reported. 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. 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. 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.