Middle-Segment Preserving Pancreatectomy for an Intraductal Papillary Mucinous Carcinoma in the Pancreatic Head and Tail

Abstract

A 63-year-old woman had been under observation for an intraductal papillary mucinous neoplasm (IPMN) in the pancreatic tail for about a year. Endoscopic ultrasonography (EUS) showed a nodular lesion in the IPMN in the pancreatic tail. Then, a new cystic mass with a nodular lesion in the pancreatic head was also observed. Intraductal papillary mucinous carcinoma (IPMC) in the pancreatic head and tail were diagnosed, and a middle-segment preserving pancreatectomy (MSPP) was performed. The length of the remnant pancreas was approximately 4 cm. Histologically, the tumors in the pancreatic head and tail were due to invasive IPMC. She had no pancreatic fistula and was able to maintain a favorable glucose tolerance. She was discharged from the hospital on the 28th postoperative day. The patient was alive with no signs of recurrence at 14 months after surgery. We herein report a case of MSPP for IPMC in the pancreatic head and tail, with the addition of some bibliographical considerations.