Conservative resection for benign tumors of the proximal pancreas

Table 1 Characteristics of the 20 patients who underwent CR

Patient No.	Age (yr)	Sex	Pathological description	Size (cm)	Lesion location	Operation	Complication	Follow up (mo)
1	75	F	Serous cystadenoma	2.0	Neck	Central pancreatectomy	Pancreatic fistula (significant case) Hemorrhage DGE	100
2	66	M	Non-functional islet cell tumor	2.6	Neck	Enucleation	No	89
3	38	F	Insulinoma	1.0	Proximal body	Enucleation	No	76
4	39	M	Insulinoma	0.8	Uncinate process	Enucleation	No	75
5	62	M	Non-functional islet cell tumor	2.5	Proximal body	Central pancreatectomy	Pancreatic fistula (significant case), perianastomotic fluid collection with infection, DGE	62
6	45	F	Serous cystadenoma	2.8	Proximal body	Central pancreatectomy	No	54
7	12	F	Solid pseudopapillary tumor	3.0	Neck	Enucleation	No	46
8	28	F	Solid pseudopapillary tumor	10.0	Head	Enucleation	Pancreatic fistula (the largest daily volume > 1000 mL in the early postoperative period)	46
9	40	F	Insulinoma	2.0	Proximal body	Central pancreatectomy	No	45
10	61	F	Solid pseudopapillary tumor	1.8	Neck	Central pancreatectomy	No	45
11	39	M	Insulinoma	1.7	Proximal body	Enucleation	No	43
12	62	F	Non-functional islet cell tumor	2.0	Neck	Central pancreatectomy	No	34
13	47	F	Serous cystadenoma	3.0	Neck	Central pancreatectomy	No	34
14	29	F	Insulinoma	2.0	Neck	Central pancreatectomy	No	24
15	29	M	Insulinoma	1.5	Head	Enucleation	No	23
16	55	F	Serous cystadenoma	2.0	Neck	Central pancreatectomy	Pancreatic fistula, DGE	21
17	32	M	Serous cystadenoma	4.0	Proximal body	Central pancreatectomy	No	13
18	39	F	Serous cystadenoma	5.0	Neck	Enucleation	Pancreatic fistula, DGE	10
19	66	M	Serous cystadenoma	4.0	Proximal body	Central pancreatectomy	No	7
20	42	M	Serous cystadenoma	5.0	Head	Enucleation	No	6

CR: Conservative resection; DGE: Delayed gastric emptying.

Table 2 Postoperative morbidity and mortality rates of CR for benign tumors in the proximal pancreas: summary of cases in the literature

Author	Year	No. of cases	Morbidity rate (%)	Pancreatic fistula (%)	Mortality rate (%)
Sperti et al[21]	2000	101	40	30	0
Balzano et al[6]	2003	462	51	39	0
Efron et al[24]	2004	141	50	36	0
Roggin et al[23]	2006	101	60	30	0
Brown et al[25]	2006	101	60	40	0
Christein et al[22]	2006	81	63	63	0
Falconi et al[7]	2007	363	44	31	0
Present series	2007	20	25	25	0

¹Central pancreatectomy;

²Thirty two central pancreatectomies and 14 enucleations;

³Twenty one central pancreatectomies and 15 enucleations.