Middle-preserving pancreatectomy with reversed pancreaticogastrostomy: report of a case

Parenchyma-sparing pancreatic resections have been reported increasingly in recent years; however, for multifocal diseases involving the head and the tail of the pancreas, total pancreatectomy is still the preferred procedure. The possible consequence of this procedure is loss of normal pancreatic p...

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Bibliographic Details
Published inSurgery today (Tokyo, Japan) Vol. 44; no. 8; pp. 1584 - 1587
Main Authors Aryal, Bibek, Komokata, Teruo, Kadono, Jun, Motodaka, Hiroyuki, Shimamoto, Yuichi, Kitazono, Iwao, Nakazono, Toshihiro, Motoi, Shunsuke, Furoi, Akira, Imoto, Yutaka
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.08.2014
Subjects
Adenocarcinoma - surgery
Aged, 80 and over
Anastomosis, Surgical - methods
Bile Duct Neoplasms - surgery
Case Report
Cystadenoma, Mucinous - surgery
Gastrostomy - methods
Humans
Medicine
Medicine & Public Health
Neoplasms, Multiple Primary
Organ Sparing Treatments - methods
Pancreas - surgery
Pancreatectomy - methods
Pancreatic Neoplasms - surgery
Surgery
Surgical Oncology
Treatment Outcome
Pancreatic neoplasm
Reversed pancreatogastrostomy
Pancreatectomy
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Summary:Parenchyma-sparing pancreatic resections have been reported increasingly in recent years; however, for multifocal diseases involving the head and the tail of the pancreas, total pancreatectomy is still the preferred procedure. The possible consequence of this procedure is loss of normal pancreatic parenchyma, resulting in insufficiency of pancreatic exocrine and endocrine functions. Various types of limited resection have been introduced for isolated or multiple pancreatic lesions, depending on the location of the tumor. Even for multifocal diseases, if the pancreatic body is spared, a middle-preserving pancreatectomy (MPP) can be performed to assure maximal pancreatic function and uncompromised quality of life. Yet, few papers have introduced the feasibility of MPP for a better outcome. This report describes a new surgical technique for MPP using an alternative approach for the remnant pancreas anastomosis. We used this technique successfully to remove a bifocal neoplasm: adenocarcinoma of the distal bile duct and mucinous cyst adenoma in the tail of the pancreas.
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ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-013-0692-4