[Local resection of pancreatic neoplasms: clinical analysis of 17 cases].

OBJECTIVE

To evaluate the role of local resection in treatment of pancreatic neoplasms.

METHODS

The clinical data of 17 patients with pancreatic neoplasms, 3 males and 14 females, aged 47.9 (34-67), who underwent local resection from January 1996 to June 2007 were analyzed.

RESULTS

Of the 17 tumors, 9 were located in the head, 7 located in the body, and 1 located in the tail of pancreas. The diameters of the 17 tumors were 1.5-8.0 cm, 3.6 cm on average, and the diameters of 8 tumors were above 4 cm. Pathological examination confirmed 8 tumors as nonfunctioning insulinoma, 5 as solid pseudopapillary tumor, 1 as neurilemmoma, 1 as cyst, 1 as gastrointestinal stroma tumor, and 1 as low-graded malignant tumor. Pancreatic leakage occurred in 7 cases (41.2%) and no death, recurrence, and endocrine and exocrine insufficiency occurred after operation.

CONCLUSION

Capable pf preserving endocrine and exocrine functions, local resection is a feasible method for benign or low-graded malignant pancreatic neoplasms, however, with a high rate of pancreatic leakage.