Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels for Benign and Low-Grade Malignant Pancreatic Neoplasm

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  • Ikeda Tetsuo
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yoshiya Shohei
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Toshima Takeo
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Harimoto Norifumi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yamashita Youichi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Ikegami Toru
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yoshizumi Tomoharu
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Soejima Yuji
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Shirabe Ken
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Maehara Yoshihiko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title
  • 良性疾患もしくは良悪性境界病変に対する腹腔鏡下脾および脾動静脈温存膵体尾部切除術

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Abstract

Background/Aims : Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) is expected to be less invasive than laparoscopic distal pancreatectomy with splenectomy. However, there are few reports regarding the details of the procedure for LSPDP, and its safety remains unclear. This study aimed to evaluate the feasibility and safety of LSPDP. Methodology : Six patients underwent LSPDP from March 2009 to February 2013 in our center, and their clinical data and outcomes were reviewed retrospectively. Results : A total of six laparoscopic distal pancreatic resections were attempted in four female and two male patients. All of the operations were successful, with an average operative time of 290.7 min (range : 211-377 min) and an average blood loss of 43.5 g (range : 0-142 g). The mean hospital stay was 11.8 days (range : 9-17days). No obvious pancreatic fistulas occurred, although pseudocysts at the stump of the pancreas were recognized in three patients on CT scans performed at 7 days postoperatively. Postoperative pathological examinations revealed two cases of serous cystadenoma in the body and tail of the pancreas, one case of serous oligocystic adenoma, one case of mucinous cystadenoma, one case of neuroendocrine tumor, and one case of solid-pseudopapillary neoplasm. Conclusions : LSPDP is minimally invasive, safe, and feasible for the management of benign pancreatic tail tumors, with the advantages of earlier recovery and less morbidity from complications.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 104 (3), 54-63, 2013-03-25

    Fukuoka Medical Association

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