What indication, morbidity and mortality for central pancreatectomy in oncological surgery? A systematic review

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• 作者：Michele Santangelo^a ; ^{michele.santangelo@unina.it" class="auth_mail" title="E-mail the corresponding author} ; Anna Esposito^a ; ^{annettae@alice.it" class="auth_mail" title="E-mail the corresponding author} ; Vincenzo Tammaro^a ; ^{vincenzo.tammaro@unina.it" class="auth_mail" title="E-mail the corresponding author} ; Armando Calogero^a ; ^{armando.calogero2@unina.it" class="auth_mail" title="E-mail the corresponding author} ; Carmen Criscitiello^b ; ^{carmen.criscitiello@ieo.it" class="auth_mail" title="E-mail the corresponding author} ; Giuseppe Roberti^c ; ^{roberti@unina.it" class="auth_mail" title="E-mail the corresponding author} ; Maria Candida^a ; ^{mariacandida84@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Niccolò ; Rupealta^a ; ^{rupenicco@icloud.com" class="auth_mail" title="E-mail the corresponding author} ; Antonio Pisani^d ; ^{antonio.pisani13@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Nicola Carlomagno^a ; ^{nicola.anita@tiscali.it" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Segmental resection pancreas ; Central pancreatectomy ; Pancreatic insufficiency ; Pancreatic fistula
• 刊名：International Journal of Surgery
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：28
• 期：supp_S1
• 页码：S172-S176
• 全文大小：265 K

文摘

Conventional pancreatic resections for pancreatic neck and body diseases include pancreaticoduodenectomy, distal pancreatectomy with or without splenectomy, and total pancreatectomy. Recent studies have reported encouraging results of non-traditional pancreatic resections, including central pancreatectomy (CP), for central pancreatic disease. This surgical approach offers the potentials of low postoperative morbidity and preservation of metabolic functions. This study performs a systematic review on CP. A comprehensive literature search was conducted, for the period 1992–2015, on three worldwide databases: PubMed, Scopus, ISI-Web of Knowledge. We focused on indications, morbidity and mortality of this surgical procedure. The review shows that CP is particularly suitable for small-medium size diseases localized into the pancreatic body. This procedure is associated with an increased postoperative morbidity but an excellent postoperative pancreatic function. CP is a safe and effective procedure when performed following the right indications.