Indications and Technique of Central Pancreatectomy

  • Riccardo Casadei
  • Claudio Ricci
  • Nicola Antonacci
  • Francesco Minni
Part of the Updates in Surgery book series (UPDATESSURG)


Central pancreatectomy, also referred to as medial pancreatectomy, is a segmental, conservative resection of the pancreas of about 5 cm length with sparing of the surrounding structures (spleen, duodenum, biliary tree, and gallbladder). Some authors [1, 2, 3] have defined the extent of this surgical resection: the central segment is limited on the right by the gastroduodenal artery, and on the left by the need to leave at least 5 cm of pancreatic tissue in order to perform the reconstruction on the distal pancreatic stump.


Main Pancreatic Duct Intraductal Papillary Mucinous Neoplasm Pancreatic Parenchyma Gastroduodenal Artery Pancreatic Stump 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Sperti C, Pasquali C, Ferronato A et al (2000) Median pancreatectomy for tumors of the neck and body of the pancreas. J Am Coll Surg 190:711–716CrossRefPubMedGoogle Scholar
  2. 2.
    Efron DT, Lillemoe KD, Cameron JL et al (2004) Central pancreatectomy with pancreaticogastrostomy for benign pancreatic pathology. J Gastrointestinal Surg 8:532–538CrossRefGoogle Scholar
  3. 3.
    Iacono C, Bortolasi L, Serio G (2005) Indications and technique of central pancreatectomy — early and late results. Langenbecks Arch Surg 390:266–271CrossRefPubMedGoogle Scholar
  4. 4.
    Guillemin P, Bessot M (1957) Pancr’eatite chronique calcifiante chez un tuberculeux r’enal: Pancr’eato-j’ejunostomie selon une technique originale. Mem Acad Chirurg 83:869–871Google Scholar
  5. 5.
    Fagniez PL, Kracht M, Rotman N (1988) Limited conservative pancreatectomy for benign tumours: a new technical approach. Br J Surg 75:719CrossRefPubMedGoogle Scholar
  6. 6.
    Johnson MA, Rajendran S, Balachandar TG et al (2006) Central pancreatectomy for benign pancreatic pathology/trauma: is it a reasonable pancreas-preserving conservative surgical strategy alternative to standard major pancreatic resection? ANZ J Surg 76:987–995CrossRefPubMedGoogle Scholar
  7. 7.
    Solcia E, Kloppel G, Sobin LH (2000) Histological typing of endocrine tumours. Springer, New York Berlin HeidelbergGoogle Scholar
  8. 8.
    Sauvanet A, Partensky C, Sastre B et al (2002) Medial pancreatectomy: a multi-institutional retrospective study of 53 patients by the French Pancreas Club. Surgery 132:836–843CrossRefPubMedGoogle Scholar
  9. 9.
    Ayav A, Bresler L, Brunaud L et al (2005) Laparoscopic approach for solitary insulinoma: a multicentre study. Langenbecks Arch Surg 390:134–140CrossRefPubMedGoogle Scholar
  10. 10.
    Orsenigo E, Baccari P, Bissolotti G et al (2006) Laparoscopic central pancreatectomy. Am J Surg 191:549–552CrossRefPubMedGoogle Scholar
  11. 11.
    Sa Cunha A, Rault A, Beau C et al (2007) Laparoscopic central pancreatectomy: single institution experience of 6 patients. Surgery 142:405–409CrossRefPubMedGoogle Scholar
  12. 12.
    Minni F, Casadei R, Marrano N, Marrano D (2006) Chirurgia del pancreas. UTET, TorinoGoogle Scholar
  13. 13.
    Roggin KK, Rudloff U, Blumgart LH et al (2006) Central pancreatectomy revisited. J Gastrointest Surg 10:804–812CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Riccardo Casadei
    • 1
  • Claudio Ricci
    • 1
  • Nicola Antonacci
    • 1
  • Francesco Minni
    • 1
  1. 1.Department of Surgery, 1st Surgical Clinic, Sant’Orsola-Malpighi HospitalUniversity of BolognaBolognaItaly

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