Central or medial pancreatectomy
This is a rarely performed surgery as it is indicated only for benign or scarcely malignant lesions of the isthmus/body of the pancreas. The aim is to achieve a radical oncologic resection while preserving the greatest possible amount of pancreatic parenchyma and spleen, in order to prevent post-operative diabetes and maintaining the spleen’s immune function. The surgery involves two stages:
- resection of the pancreas, and
- reconstruction of pancreatic continuity.
In the first stage the central part of the pancreas is removed, preserving the head of the pancreas and the tail. Reconstruction can be carried out in many different ways and allows the reintegration of the pancreatic tail in the digestive “cycle”.
Postoperative complications are frequent and functional recovery is gradual.