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Clin J Gastroenterol. 2014 Jun;7(3):251-4. doi: 10.1007/s12328-014-0472-8. Epub 2014 Mar 19.

Middle-preserving pancreatectomy for multifocal intraductal papillary mucinous neoplasms of the pancreas: report of a case.

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1
Department of General and Digestive Surgery, Ehime Prefectural Central Hospital, 83 Kasuga-cho, Matsuyama, Ehime 770-8503 Japan.

Abstract

Multifocal or continuous pancreatic lesion is identified frequently but finding an appropriate surgical approach is quite challenging. Total pancreatectomy is a useful procedure. However, postoperative endocrine and exocrine disturbance is inevitable. Recently, the safety and feasibility of parenchyma preserving pancreatectomy, including middle-preserving pancreatectomy (MPP), have been reported. MPP is a combined procedure of pancreaticoduodenectomy and distal pancreatectomy, while preserving the body of the pancreas, for cases of multifocal pancreatic lesions. So far, there have only been a few reports that have described MPP. We report a case of MPP for multifocal intraductal papillary mucinous neoplasms of the pancreas, describe the surgical procedure, and discuss the feasibility of MPP as parenchyma-preserving pancreatectomy with reference to the literature.

KEYWORDS:

Middle-preserving pancreatectomy; Multifocal IPMNs

PMID:
24883129
PMCID:
PMC4037559
DOI:
10.1007/s12328-014-0472-8
[Indexed for MEDLINE]
Free PMC Article
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