Advertisement

Central Pancreatectomy

  • Zhe Cao
  • Tai-Ping Zhang
Chapter

Abstract

In 1910, Finney et al. reported the first central pancreatectomy, during which the left stump of the pancreas was anastomosed with the right stumps. The risk of this surgical process was high, so as the incidence of postoperative complications. In 1957, Guillemin performed central pancreatectomy with “Ω”-shaped jejunostomy in the patient with chronic pancreatitis, significantly reducing the incidence of complications such as pancreatic fistula [1]. In 1984, Dagradi reported the first case of central pancreatectomy for an insulinoma. It can not only preserve the normal pancreatic parenchyma as well as the structure of the gastrointestinal tract, biliary tract, and spleen, but also improve overall postoperative pancreatic endocrine and exocrine function, decrease the risk of infection and coagulation abnormalities.

References

  1. 1.
    Guillemin P, Bessot M. Chronic calcifying pancreatitis in renal tuberculosis: pancreatojejunostomy using an original technic. Mem Acad Chir (Paris). 1957;83(27–28):869–71.Google Scholar
  2. 2.
    Iacono C, Bortolasi L, Facci E, Nifosi F, Pachera S, Ruzzenente A, et al. The Dagradi-Serio-Iacono operation central pancreatectomy. J Gastrointest Surg. 2007;11(3):364–76.CrossRefGoogle Scholar
  3. 3.
    Song KB, Kim SC, Park KM, Hwang DW, Lee JH, Lee DJ, et al. Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body. Surg Endosc. 2015;29(4):937–46.CrossRefGoogle Scholar
  4. 4.
    Sperti C, Pasquali C, Ferronato A, Pedrazzoli S. Median pancreatectomy for tumors of the neck and body of the pancreas. J Am Coll Surgeons. 2000;190(6):711–5.CrossRefGoogle Scholar
  5. 5.
    Goudard Y, Gaujoux S, Dokmak S, Cros J, Couvelard A, Palazzo M, et al. Reappraisal of central pancreatectomy a 12-year single-center experience. JAMA Surg. 2014;149(4):356–63.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Zhe Cao
    • 1
  • Tai-Ping Zhang
    • 1
  1. 1.Peking Union Medical College HospitalBeijingChina

Personalised recommendations