Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 14, 2014; 20(42): 15674-15681
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15674
Central pancreatectomy: The Dagradi Serio Iacono operation. Evolution of a surgical technique from the pioneers to the robotic approach
Calogero Iacono, Andrea Ruzzenente, Luca Bortolasi, Alfredo Guglielmi
Calogero Iacono, Andrea Ruzzenente, Luca Bortolasi, Alfredo Guglielmi, Department of Surgery, Division of General Surgery “A”, Unit of Hepato-Biliary-Pancreatic Surgery, University of Verona Medical School, “GB Rossi” University Hospital, 37134 Verona, Italy
Author contributions: Iacono C study concept and design; Bortolasi IC, Ruzzenente A acquisited the data; Iacono C and Bortolasi L drafted of the manuscript; Iacono C, Guglielmi A and Ruzzenente A critical revision of the manuscript for important intellectual content; Iacono C and Guglielmi A study supervisor and final approval.
Correspondence to: Calogero Iacono, MD, Professor, Department of Surgery, Division of General Surgery “A”, Unit of Hepato-Biliary-Pancreatic Surgery, University of Verona Medical School, “GB Rossi” University Hospital, P.le L.A. Scuro, 37134 Verona, Italy. calogero.iacono@univr.it
Telephone: +39-45-8074412 Fax: +39-45-8027426
Received: January 21, 2014
Revised: April 30, 2014
Accepted: June 12, 2014
Published online: November 14, 2014
Processing time: 300 Days and 13.8 Hours
Abstract

Central pancreatectomy (CP) is a parenchyma-sparing surgical procedure. The aims are to clarify the history and the development of CP and to give credits to those from whom it came. Ehrhardt, in 1908, described segmental neck resection (SNR) followed, in 1910, by Finney without reconstructive part. In 1950 Honjyo described two cases of SNR combined with gastrectomy for gastric cancer infiltrating the neck of the pancreas. Guillemin and Bessot (1957) and Letton and Wilson (1959) dealt only with the reconstructive aspect of CP. Dagradi and Serio, in 1982, performed the first CP including the resective and reconstructive aspects. Subsequently Iacono has validated it with functional endocrine and exocrine tests and popularized it worldwide. In 2003, Baca and Bokan performed laparoscopic CP and, In 2004, Giulianotti et al performed a robotic assisted CP. CP is performed worldwide either by open surgery or by using minimally-invasive or robotic approaches. This confirms that the operation does not belong to whom introduced it but to everyone who carries out it; however credit must be given to those from whom it came.

Keywords: Pancreatic history; Pancreatic surgery; Central pancreatectomy; Conservative pancreatectomy

Core tip: Central pancreatectomy (CP) is a parenchyma-sparing surgical procedure. Dagradi and Serio, in 1982, performed the first CP including the resective and reconstructive aspects. Before the description of Dagradi and Serio the previous descriptions of CP included only different parts of the complete surgical technique. Subsequently Iacono has validated it with functional endocrine and exocrine tests and popularised it worldwide. Nowadays CP is performed worldwide either by traditional open surgery or by minimally-invasive or robotic approaches.