Article: Middle segment pancreatectomy: Does it deserve a second chance? Report of three cases and review of the literature.
International journal of surgery case reports
2023 Volume 107, Page(s) 108268
Abstract: Introduction and importance: Meddle segment pancreatectomy (MP) is a parenchyma-sparing surgical procedure that has recently been proposed for treatment of benign or attenuated malignant tumors. However, this procedure is not fully recognized.: Case ... ...
Abstract | Introduction and importance: Meddle segment pancreatectomy (MP) is a parenchyma-sparing surgical procedure that has recently been proposed for treatment of benign or attenuated malignant tumors. However, this procedure is not fully recognized. Case presentation: We herein report 3 patients undergoing MP for tumors of pancreas body and tail. The first patient was a 38-year-old woman with a neuroendocrine tumor, the second was a 42-year-old woman with a serous cystic neoplasm and the 3rd patient was 57 years old, with mucinous cystadenoma. A MP with spleen preservation was performed in the 3 patients, with ligatures of splenic vessels in the first patient. Only one patient developed a pancreatic fistula, which was managed medically. In our 3 patients, no endocrine or exocrine insufficiency was observed, but the first patient showed a disease recurrence with liver metastasis 3 years after surgery. Clinical discussion: Middle pancreatectomy can not only avoid the pancreatic effects of extensive resections, but it is also a technique that has a very low operative or postoperative mortality rate. Conclusion: MP is a feasible, safe procedure with several advantages, but which unfortunately remains rarely practiced. |
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Language | English |
Publishing date | 2023-05-04 |
Publishing country | Netherlands |
Document type | Journal Article |
ISSN | 2210-2612 |
ISSN | 2210-2612 |
DOI | 10.1016/j.ijscr.2023.108268 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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