Central pancreatectomy with common hepatic artery resection for a giant pancreatic neuroendocrine tumor

Pancreatic neuroendocrine tumors are rare neoplasms and represent about 7% of all the neuroendocrine tumors. Because of missing symptoms, they arc usually diagnosed at a more advanced stage. Central pancreatectomy is commonly applied for tumors of the pancreatic midportion that do not exceed 5 cm of dimension and are not suitable for enucleation. A case of 52-year-old woman with a giant pancreatic neuroendocrine tumor was managed by a variant of central pancreatectomy with common hepatic artery resection and without pancreatic duct reconstruction. There was neither pancreatic leakage, nor liver function disturbance. Surgical resection was dictated by tumor location being the treatment of choice. I laving in mind the low malignant potential. the central pancreatectomy is considered a therapeutic strategy of choice for the treatment of this tumor type. To our knowledge, the combination of central pancreatectomy with common hepatic artery resection in a giant pancreatic neuroendocrine tumor is reported for the first time.