Surgical treatment of benign lesions of head of the pancreas: a report of 22 cases        CHI Yong-xing, ZHOU Jian-ping, DONG Ming, et al. Department of General Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Corresponding author: DONG Ming, E-mail:mingdong@mail.cmu.edu.cn
Abstract    Objective    To investigate surgical option of benign lesions of head of the pancreas. Methods    The clinical data of 22 cases of benign lesions of head of the pancreas performed surgery from August 1995 to August 2009 at the First Hospital of China Medical University were analyzed. Results  The pathological diagnosis included solid-pseudopapillary tumor in 5 cases, serous cystadenoma in 5 cases, mucinous cystadenoma in 4 cases, chronic pancreatitis in 3 cases, nonfunctional islet-cell tumor in 3 cases, intraductal papillary mucinous tumor in 1 case and gastrinoma in 1 case.The operation procedures included pancreatoduodenectomy (PD) in 10 cases, duodenum-preserving pancreatic head resection(DPPHR) in 7 cases and enucleation in 5 cases. Pancreatic leakage was occurred in 3 out of 10 cases with PD, 1 out of 7 cases with DPPHR, and 3 out of 5 cases with enucleation. Twenty cases were followed up with 18 cases alive and 2 cases dying of unrelated diseases. Conclusion    For benign lesions of head of the pancreas, DPPHR or enucleation is the reasonable surgical option.