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Central pancreatectomy with pancreaticogastrostomy reconstruction: A brief report and video technique
Affiliation:1. Oregon Health & Science University, Department of Surgery, 3181 SW Sam Jackson Park Rd, Portland, 97239, OR, USA;2. Legacy Cancer Institute, Legacy Medical Group Surgical Oncology, 1040 NW 22nd Ave, Suite 560, Portland, 97227, OR, USA;1. Oregon Health & Science University, Portland, OR, USA;2. University of California San Francisco, San Francisco, CA, USA;1. BC Cancer-Sindi Ahluwalia Hawkins Centre, Dept. of Surgical Oncology, 399 Royal Ave, Kelowna, BC, V1Y 5L3, Canada;2. University of British Columbia Southern Medical Program, 2312 Pandosy Street, Kelowna, BC, V1Y 1T3, Canada;1. University of Washington School of Medicine, Seattle, WA, 98195, USA;2. Institute for Disease Modeling, Bellevue, WA, 98005, USA;3. Seattle Children’s Hospital, Seattle, WA, 98105, USA;4. Seattle Children’s Research Institute, Seattle, WA, 98101, USA;1. Department of Surgery, Madigan Army Medical Center, Tacoma, WA, USA;2. Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA
Abstract:Low grade tumors located in the neck of the pancreas present a unique surgical challenge. Subtotal pancreatectomy results in significant loss of pancreatic gland and function, while pancreaticoduodenectomy may be too aggressive for these lesions. We present a case of a patient with a well differentiated neuroendocrine tumor in the neck of the pancreas who underwent a central pancreatectomy with pancreaticogastrostomy reconstruction. Patient selection and technical aspects of the procedure are described. The decision to perform a central pancreatectomy should not be made lightly as complications are frequent. Careful patient selection is imperative.
Keywords:Central pancreatectomy  Parenchymal sparing resection  Surgical video
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