Central pancreatectomy: the Dagradi Serio Iacono operation. Evolution of a surgical technique from the pioneers to the robotic approach

World J Gastroenterol. 2014 Nov 14;20(42):15674-81. doi: 10.3748/wjg.v20.i42.15674.

Abstract

Central pancreatectomy (CP) is a parenchyma-sparing surgical procedure. The aims are to clarify the history and the development of CP and to give credits to those from whom it came. Ehrhardt, in 1908, described segmental neck resection (SNR) followed, in 1910, by Finney without reconstructive part. In 1950 Honjyo described two cases of SNR combined with gastrectomy for gastric cancer infiltrating the neck of the pancreas. Guillemin and Bessot (1957) and Letton and Wilson (1959) dealt only with the reconstructive aspect of CP. Dagradi and Serio, in 1982, performed the first CP including the resective and reconstructive aspects. Subsequently Iacono has validated it with functional endocrine and exocrine tests and popularized it worldwide. In 2003, Baca and Bokan performed laparoscopic CP and, In 2004, Giulianotti et al performed a robotic assisted CP. CP is performed worldwide either by open surgery or by using minimally-invasive or robotic approaches. This confirms that the operation does not belong to whom introduced it but to everyone who carries out it; however credit must be given to those from whom it came.

Keywords: Central pancreatectomy; Conservative pancreatectomy; Pancreatic history; Pancreatic surgery.

Publication types

  • Historical Article
  • Portrait
  • Review

MeSH terms

  • Animals
  • Diffusion of Innovation
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Laparoscopy / adverse effects
  • Laparoscopy / history
  • Laparoscopy / methods*
  • Laparoscopy / trends
  • Pancreatectomy / adverse effects
  • Pancreatectomy / history
  • Pancreatectomy / methods*
  • Pancreatectomy / trends
  • Postoperative Complications / etiology
  • Risk Factors
  • Robotic Surgical Procedures / adverse effects
  • Robotic Surgical Procedures / history
  • Robotic Surgical Procedures / methods*
  • Robotic Surgical Procedures / trends
  • Treatment Outcome