Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity
Journal of Surgery
Volume 7, Issue 4, August 2019, Pages: 110-113
Received: Jun. 7, 2019;
Accepted: Jul. 15, 2019;
Published: Aug. 5, 2019
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Kazuhiro Suzumura, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Kenjiro Iida, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Hideaki Iwama, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Yusuke Kawabata, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
Background: The indications for laparoscopic spleen-preserving distal pancreatectomy (LSPDP) and the associated morbidity in comparison to laparoscopic distal pancreatectomy with splenectomy (LDPS) are ill-defined. Objective: This study aimed to evaluate the safety, feasibility and outcomes of LSPDP. Methods: Between January 2010 and May 2014, 13 patients underwent LDPS or LSPDP in our institution, and their clinical data and the outcomes of the two procedures were retrospectively reviewed and statistically analyzed. Results: There were no significant differences in age, gender, American Society of Anesthesiologists (ASA) score, body mass index (BMI) or blood loss between the LDPS and LSPDP groups. The mean tumor size (8.63 vs. 2.51 cm, P<0.005) and mean operative time (353 vs. 235 minutes, P<0.029) were greater in the LDPS group than in the LSPDP group. The rates of complications in the two groups did not differ to a statistically significant extent. All of the patients were achieved R0 resection and no mortality. Conclusion: LSPDP with conservation of the splenic artery and vein was a safe and feasible option for benign or low-grade malignant tumors in the distal pancreas, because of no mortality, no splenic infarction and R0 resection. Splenic conservation does not significantly increase the morbidity associated with the procedure.
Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity, Journal of Surgery.
Vol. 7, No. 4,
2019, pp. 110-113.
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