Journal
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS
Volume 2, Issue 8, Pages 267-268Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.ijscr.2011.08.007
Keywords
Pancreaticoduodenectomy Distal pancreatectomy; Middle-preserving pancreatectomy; Carcinoma of ampulla; Solid-pseudopapillary tumor of the pancreas
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INTRODUCTION: Total pancreatectomy is the treatment of choice for multicentric diseases involving the pancreas. Middle-preserving pancreatectomy is a recently reported alternative procedure when the pancreatic body is spared from disease. PRESENTATION OF CASE: We report a 63-year old lady who underwent a combined Whipple's operation and distal splenopancreatectomy for her synchronous ampullary carcinoma and solid-pseudopapillary tumor of the distal pancreas. DISCUSSION: For multiple tumors of the pancreas, the choice of surgery should be based on the nature of pathology and follow the principle of oncological resection. CONCLUSION: Middle-preserving pancreatectomy is a safe and feasible option for patient with multicentric or synchronous pancreatic pathologies. (C) 2011 Surgical Associates Ltd. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.
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