The authors report their experience with central pancreatectomy and also summarize relevant literature data. Central pancreatectomies were performed in 7 patients for benign or low-grade malignant pancreatic neoplasms, or pancreatic rupture in one patient. Most frequently applied anastomosis was between the distal part of the pancreas and a Roux-en-Y limb, while the proximal cut surface was closed with sutures, and the suture line was covered with a limb. There were three complications (37%), but reoperation didn't need to be performed and none of the patients died. We did not detect any deterioration in the exocrine or endocrine function during the follow-up period. Central pancreatectomy is a safe procedure with excellent functional results, if both the indication and the applied technique are chosen appropriately.
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