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Related Experiment Video

Updated: Jun 20, 2026

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors
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Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors

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Central pancreatectomy without anastomosis.

Michael Wayne1, Siyamek Neragi-Miandoab, Franklin Kasmin

  • 1The Pancreas and Biliary Center at Saint Vincent's Hospital, New York, NY 10011, USA. waynedocny@yahoo.com

World Journal of Surgical Oncology
|September 2, 2009
PubMed
Summary

Central pancreatectomy without pancreatico-enteric anastomosis is a safe procedure for pancreatic neck lesions. This approach preserves pancreatic function and spleen, with low morbidity and excellent long-term outcomes.

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Pancreatic Surgery

Background:

  • Central pancreatectomy is indicated for lesions in the pancreatic neck.
  • This technique preserves the distal pancreas, including endocrine function, and the spleen.

Purpose of the Study:

  • To evaluate the safety and efficacy of central pancreatectomy without pancreatico-enteric anastomosis.
  • To analyze surgical indications, outcomes, and pathology for this procedure.

Main Methods:

  • Retrospective review of 10 patients who underwent central pancreatectomy without anastomosis.
  • Data collected from October 2005 to May 2009.
  • Analysis of surgical indications, operative outcomes, and pathological findings.

Main Results:

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Last Updated: Jun 20, 2026

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors
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  • All 10 lesions were located in the pancreatic neck.
  • Lesions included 2 branch intraductal papillary mucinous neoplasms (IPMNs), 1 mucinous cyst, 1 lymphoid cyst, 5 neuroendocrine tumors, and 1 clear cell adenoma.
  • The procedure was performed without pancreatico-enteric anastomosis.

Conclusions:

  • Central pancreatectomy without anastomosis is a safe and effective surgical option for pancreatic neck and proximal lesions.
  • Absence of anastomosis leads to low morbidity.
  • Long-term endocrine and exocrine function is maintained post-operatively.