[The therapy of benign pancreatic tumors]

A more distinct histopathological classification of pancreatic tumours has been developed during the last years. However, up to now the preoperative diagnostic tools are not able to predict sufficiently the kind of the tumour, particularly the differentiation between benign and malignant. This is the prior condition for limited resection procedures like the enucleation. Therefore partial pancreatic resection is the treatment of choice even for benign tumours except for small insulinomas. These tumours are easy to diagnose, have only a limited potential for malignancy and are removed by enucleation. We report on our experience will 60 benign cases (50 cystic neoplasms, 10 neuroendocrine tumours) during the last 8.5 years in our institution with the following operative procedures: 2 total pancreatectomies, 21 pancreatic head resections, 25 left pancreatectomies, 10 pancreas segmental resections amd 2 enucleations.