Ann Hepatobiliary Pancreat Surg. 2017 May;21(2):76-79. doi: 10.14701/ahbps.2017.21.2.76. Epub 2017 May 23.
Central pancreatectomy: an oncologically safe option to treat metastases of other neoplasms of the mid-portion of the pancreas?.
Annals of hepato-biliary-pancreatic surgery
Traian Dumitrascu, Andra Scarlat, Mihnea Ionescu, Irinel Popescu
Affiliations
Affiliations
- Center of General Surgery and Liver Transplant, Fundeni Clinical Institute, Bucharest, Romania.
PMID: 28567450
PMCID: PMC5449367 DOI: 10.14701/ahbps.2017.21.2.76
Abstract
BACKGROUNDS/AIMS: Standard pancreatic resections are the current approach for patients with resectable, isolated pancreatic metastases of other neoplasms. However, the role of parenchyma-sparing pancreatectomies for such pathology is poorly investigated. The aim of the present study is to assess the oncological safety of central pancreatectomies for pancreatic metastases of other neoplasms.
METHODS: A literature search was performed in order to identify patients with central pancreatectomies for pancreatic metastases of other neoplasms. The available data of the patients were extracted and analyzed.
RESULTS: A total number of 16 patients were identified. Renal carcinoma was the primary origin for the largest number of these patients (11 patients - 69%). The mean overall survival time was 109 months, with 1-, 5- and 10-year survival rates of 100%, 84%, and 60%, respectively.
CONCLUSIONS: Although not often performed, a central pancreatectomy appears to be an oncologically safe surgical procedure in select patients with pancreatic metastases of other neoplasms of the pancreatic body and isthmus. However, no definitive conclusions should be drawn, based on the data provided in the present study, due to the limited number and heterogeneity of the patients.
Keywords: Central pancreatectomy; Pancreatic metastases; Survival
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