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O. Joe Hines, MD

Arch Surg. 2008;143(2):180-181.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Adham and colleagues describe the largest single-institutional series reported to date of 50 patients who underwent CP during an 18-year period. This article adds a substantial experience to the very limited information currently known about this procedure. The procedure, also called a middle or median pancreatectomy, may offer some theoretical advantages over larger resections—namely a distal pancreatectomy. However, the procedure has been rarely reported and should remain rarely performed.

The primary benefit to limited resection is the presumed preservation of endocrine and exocrine function of the pancreas. By sacrificing only a small segment of the pancreas and retaining the tail with a separate anastomosis to a Roux-en-Y limb of jejunum or to the stomach, in theory this operation should maintain pancreatic function better than a distal pancreatectomy would. In truth, this has yet to be demonstrated and is not clearly a disadvantage of distal pancreatectomy. Without . . . [Full Text of this Article]

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Central Pancreatectomy: Single-Center Experience of 50 Cases
Mustapha Adham, Alejandro Giunippero, Valerie Hervieu, Marion Courbière, and Christian Partensky
Arch Surg. 2008;143(2):175-180.
ABSTRACT | FULL TEXT