Brief Articles
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jun 21, 2009; 15(23): 2904-2907
Published online Jun 21, 2009. doi: 10.3748/wjg.15.2904
Experience of limited pancreatic head resection for management of branch duct intraductal papillary mucinous neoplasm in a single center
Kwang Yeol Paik, Seong Ho Choi
Kwang Yeol Paik, Department of Surgery, Kepco Medical Foundation, Hanil General Hospital, #388-1 Ssangmoon-Dong, Dobong-Gu, Seoul 132-033, South Korea
Seong Ho Choi, Department of Surgery, Samsung Medical Center, College of Medicine, Sungkyunkwan University, #50 Irwon-Dong, Gangnam-Gu, Seoul 135-710, South Korea
Author contributions: Paik KY wrote the paper; Choi SH designed the research; Paik KY and Choi SH performed the research; Paik KY provided new reagents and analytical tools and analyzed data.
Correspondence to: Seong Ho Choi, Department of Surgery, Samsung Medical Center, College of Medicine, Sungkyunkwan University, #50 Irwon-Dong, Gangnam-Gu, Seoul 135-710, South Korea. pancreas@skku.edu
Telephone: + 82-2-34101669
Fax: +82-2-34100090
Received: March 19, 2009
Revised: May 13, 2009
Accepted: May 20, 2009
Published online: June 21, 2009
Abstract

AIM: To share our surgical experience and the outcome of limited pancreatic head resection for the management of branch duct intraductal papillary mucinous neoplasm (IPMN).

METHODS: Between May 2005 and February 2008, nine limited pancreatic head resections (LPHR) were performed for IPMN of the pancreatic head. We reviewed the nine patients, retrospectively.

RESULTS: Tumor was located in the uncinate process of the pancreas in all nine patients. Three patients had stents inserted in the main pancreatic duct due to injury. The mean size of tumor was 28.4 mm. Postoperative complications were found in five patients: 3 pancreatic leakages, a pancreatitis, and a duodenal stricture. Pancreatic leakages were improved by external drainage. No perioperative mortality was observed and all patients are recorded alive during the mean follow-up period of 17.2 mo.

CONCLUSION: In selected patients after careful evaluation, LPHR can be used for the treatment of branch duct type IPMN. In order to avoid pancreatic ductal injury, pre- and intra-operative definite localization and careful operative techniques are required.

Keywords: Limited pancreatic head resection; Branch duct type; Intraductal papillary mucinous neoplasm