Surgical outcomes of multifocal branch duct XXXX of pancreas.

@entity1 @entity788 @entity4929 @entity189 @entity1141
BACKGROUNDS/AIMS: Appropriate management for multifocal branch duct type @entity4929 (BD-IPMNs) of the pancreas is still controversial. This study was intended to reveal surgical outcomes of surgical resection for multifocal BD-IPMNs, with @entity788 . METHODS: Between January 1995 and December 2013, 699 @entity1 underwent the pancreatic resection due to @entity788 in our institution. Among them, 37 @entity1 showed multifocal BD-IPMNs. After excluding @entity1 who had BD-IPMNs completely resected, medical records of 22 @entity1 with remained @entity788 were retrospectively reviewed. RESULTS: Mean @entity1 age was 65  6.4 years. Types of surgery included central pancreatectomy (n=1), distal pancreatectomy (n=14), and standard pylorus-preserving pancreaticoduodenectomy (n=7). Specimen pathology showed that IPMN was either at low/intermediate-grade @entity1141 (n=17) or at high-grade @entity1141 (n=2). Three @entity1 had IPMN associated with @entity189 . Their mean follow-up period was 40.4 months. During follow-up, one mortality occurred 35.2 months after the operation which was not associated with IPMN. There was no clinically significant disease progression or recurrence of IPMN in the remnant pancreas during the follow-up period. CONCLUSIONS: Our results support that we can safely preserve the @entity788 with multifocal BD-IPMNs. Benign-looking multifocal @entity788 do not affect the survival of @entity1 .
