Total Mesopancreas Excision for Pancreatic Head Cancer: Analysis of 120 Cases.

OBJECTIVE:To evaluate the feasibility and safety of total mesopancreas excision (TMpE) in the treatment of pancreatic head cancer.METHODS:The clinical and pathological data of 120 patients with pancreatic head cancer who had undergone TMpE in our center from May 2010 to January 2014 were retrospectively analyzed.RESULTS:The mean operative time was (275.0±50.2) min and the average intra-operative blood loss was (390.0±160.5) mL. Post-operative complications were reported in 45 patients, while no peri-operative death was noted. The specimen margins were measured in three dimensions, and 86 patients (71.6%) achieved R0 resection.CONCLUSIONS:TMpE is safe and feasible for pancreatic head cancer and is particularly helpful to increase the R0 resection rate.