Clinically application of middle segmental pancreatectomy :analysis of 40 cases        CHEN Shi, LIU Guo-hua,DENG Xia-xing,et al. Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai200025,China
Corresponding author: PENG Cheng-hong, E-mail: chhpeng@188.com
Abstract    Obiective    To summarize the experiences of middle pancreatectomy and evaluate the perioperative and long-term results．Methods    The data of 40 cases underoing middle segmental pancreatectomy were reviewed retrospectively to analyze the preoperative and operation situation and postoperative complication with prognosis．Results    Mean operative time was 225min，mean blood loss was 295mL，mean length of resected pancreas was 44 mm . Mean postoperative time in hospital was 29d. Three patient with malignant tumor,others with benign neoplasms were included. One patient with bleeding after operation was treated in haemostasis and transfution.Complication after operation was pancreatic fistula（17cases）．The mean time of follow—up was 31 months(4 months—6 years).Two patient was died of multiple organs failure for carcinomatous matastsis, the others were alive with a new diabetic．Conclusion Middle segmental pancreatectomy is a reasonable technique that is indicated for selected patients with benign or low malignant tumors in the neck and body of the pancreas.