However, other cases of ITPN resected via distal pancreatectomy
did not have recurrence in the follow-up period, suggesting that total pancreatectomy
is not always necessary.
, colectomy, proctectomy, hepatectomy, and esophagectomy were associated with decreased daily rates of discharge from the initial hospitalization, while ventral herniorraphy and thyroidectomy were associated with increased daily rates of discharge home.
Management of the LEC of the pancreas has been variably described in the literature, from conservative treatment with regular follow-up in asymptomatic patients to open pancreatectomy
[sup],, or laparoscopic approach [sup],, for patients with symptoms or malignancy concern, as [Table 1].
Classic central pancreatectomy
involves restoring the pancreatic anastomosis.
To confirm that pancreatectomy
generated insulin-deficient diabetic rats, plasma insulin and C-peptide levels were measured at the end of study.
The animals were divided into the following groups: (1) Pancreatectomy
group: 36 rats were anesthetized with ketamine (50 mg/kg) and xylazine (5 mg/Kg).
Total or partial pancreatectomy
followed by intrahepatic transplantation of autologous islets has emerged as a promising approach to treat CP, due to its ability to reduce or eliminate pain while retaining endocrine function.
Good surgical resection is the mainstay of treatment and has included enucleation, Whipple's resection or subtotal pancreatectomy
depending upon the size and extent of the tumor.
Traditionally, open laparotomy with either aneurysm ligation alone or splenectomy with/without distal pancreatectomy
has been the gold standard for the management of SAAs.
PF is observed by clinicians after distal pancreatectomy
. Factors affecting the rate of PF are as follows: underlying disease (i.e., malignancy or trauma), methods of the pancreatic transection, technique of stump closure and concomitant splenectomy.
for gunshot injuries of the distal pancreas.
Another clue came from an observation made by Judah Folkman, MD, then at Boston Children's Hospital, about pancreatic cancer patients who had undergone a pancreatectomy
. Without a pancreas to produce and regulate insulin, these patients developed severe diabetes but rarely if ever developed proliferative retinopathy, even when they survived for more than 10 to 20 years.