The organ-preserving pancreatectomy ： reports of 76 cases        QIN Hong*, DONG Ming, ZHOU Jian-ping, et al. *Department of Gastroenterological 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 discuss the indication, complication and therapeutic efficacy of the four kinds of organ-preserving operation in pancreatectomy. Methods    76 clinical cases from January 1990 to March 2012 were retrospectively analyzed in general surgery of First Hospital of China Medical University. Among the total, 21 patients were male, 55 were female, age between 15 to 75yr. They were all benign or low-grade malignant lesions of pancreas except for one case of malignant tumor of the pancreas and one case of pancreatic trauma. Among the 76 clinical cases, 8 were pylorus-preserving pancreatoduodenectomy（PPPD）, 14 were duodenum-preserving pancreatic head resection（DPPHR）, 14 were central pancreatectomy（CP） and 40 were spleen-preserving distal pancreatectomy（SPDP）. Results  No mortality rate developed. There were 13（17.1%） complications caused by operation. Among them, 11 were pancreatic fistula（14.5%）, 1 was biliary fistula, 1 was hemorrhage of pancreatic-intestinal stoma（14.5%）. PPPD done in 8 patients occurred 1 pancreatic fistula. DPPHR done in 14 patients occurred 2 pancreatic fistula, 1 biliary fistula. CP done in 14 patients occurred 2 pancreatic fistula, 1 hemorrhage of pancreatic-intestinal stoma which was cured by operation. SPDP done in 40 patients occurred 6 pancreatic fistula, and no delayed splenic infarction, splenic abscess or platelet-elevating occurred. Conclusion    Organ-preserving pancreatectomy could reduce the operation trauma, preserve organ function, reduce the rate of complication caused by operation, and have the same efficacy as the traditional type of pancreatic operation, so it could be the first considered operation of benign or low-grade malignant lesions of pancreas.