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Central Pancreatectomy

Parenchyma-sparing pancreatic resection that preserves both endocrine and exocrine function for benign or low-grade lesions of the pancreatic neck and body.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Central Pancreatectomy?

Central pancreatectomy is a parenchyma-sparing surgical technique used for benign or low-grade tumors located at the pancreatic neck or proximal body. It preserves the duodenum, biliary tree, distal pancreatic body, tail and spleen.

The procedure removes the affected segment and reconstructs pancreatic continuity by closing the proximal stump and performing a pancreaticojejunostomy or pancreaticogastrostomy with the distal remnant. Indications include serous cystadenoma, mucinous cystadenoma without malignant features, side-branch IPMN, neuroendocrine tumors smaller than two centimeters and pancreatic pseudopapillary tumors.

Compared to standard pancreaticoduodenectomy or distal pancreatectomy, it lowers the long-term risk of new-onset diabetes and exocrine insufficiency. However, postoperative pancreatic fistula remains the most relevant complication and requires careful intraoperative technique and structured drainage management.

Symptoms

Vague abdominal pain
Early satiety
Weight loss
Incidentally detected pancreatic mass
Mild jaundice
Recurrent mild pancreatitis
Hypoglycemic episodes in functioning tumors

Risk Factors

Serous or mucinous cystadenoma
Side-branch IPMN
Pancreatic neuroendocrine tumor
Solid pseudopapillary tumor
Localized chronic pancreatitis
Symptomatic benign cyst
Family history of pancreatic disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Pancreatic cystic lesion on imaging
  • Symptomatic benign tumor
  • Functioning neuroendocrine tumor
  • New-onset abdominal pain with mass
  • Postoperative pancreatic leak
  • Long-term endocrine surveillance

Treatment Methods

01
Preoperative imaging and EUS
02
Open or minimally invasive central resection
03
Pancreaticojejunostomy or pancreaticogastrostomy
04
Closed-suction drain placement
05
Octreotide and pancreatic fistula management
06
Long-term endocrine and exocrine follow-up
07
Surveillance imaging for IPMN history

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.