Central pancreatectomy
A parenchyma-sparing surgical technique that removes the central portion of the pancreas while preserving both pancreatic head and tail.
Full Definition
Central pancreatectomy, also known as middle pancreatectomy, is a specialized surgical procedure that removes tumors located in the pancreatic neck or proximal body while preserving maximum pancreatic parenchyma. This technique maintains both the pancreaticoduodenal complex and the distal pancreas with spleen, requiring two pancreatic transections and reconstruction of the distal remnant. The procedure is indicated for benign or low-grade malignant lesions where oncological clearance can be achieved with limited resection. Reconstruction typically involves pancreaticojejunostomy or pancreaticogastrostomy of the distal remnant. While technically challenging, central pancreatectomy offers the advantage of preserving endocrine and exocrine function compared to extended resections.
Usage
Usage note: Emphasize parenchyma-preserving nature and specify reconstruction technique used.
In Context
- "Central pancreatectomy was performed for a 2-cm serous cystadenoma in the pancreatic neck." — Operative report
- "The patient maintained normal glucose tolerance following central pancreatectomy with pancreaticojejunostomy." — Long-term follow-up note