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.
| Published in | Journal of Surgery (Volume 7, Issue 4) |
| DOI | 10.11648/j.js.20190704.15 |
| Page(s) | 110-113 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Pancreas, Laparoscopy, Distal Pancreatectomy, Spleen-preserving, Splenic Vessels
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APA Style
Kazuhiro Suzumura, Kenjiro Iida, Hideaki Iwama, Yusuke Kawabata. (2019). Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity. Journal of Surgery, 7(4), 110-113. https://doi.org/10.11648/j.js.20190704.15
ACS Style
Kazuhiro Suzumura; Kenjiro Iida; Hideaki Iwama; Yusuke Kawabata. Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity. J. Surg. 2019, 7(4), 110-113. doi: 10.11648/j.js.20190704.15
AMA Style
Kazuhiro Suzumura, Kenjiro Iida, Hideaki Iwama, Yusuke Kawabata. Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity. J Surg. 2019;7(4):110-113. doi: 10.11648/j.js.20190704.15
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Download@article{10.11648/j.js.20190704.15,
author = {Kazuhiro Suzumura and Kenjiro Iida and Hideaki Iwama and Yusuke Kawabata},
title = {Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity},
journal = {Journal of Surgery},
volume = {7},
number = {4},
pages = {110-113},
doi = {10.11648/j.js.20190704.15},
url = {https://doi.org/10.11648/j.js.20190704.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190704.15},
abstract = {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.},
year = {2019}
}
TY - JOUR T1 - Laparoscopic Distal Pancreatectomy Preserving the Spleen and Splenic Vessels: An Operation Without Increased Morbidity AU - Kazuhiro Suzumura AU - Kenjiro Iida AU - Hideaki Iwama AU - Yusuke Kawabata Y1 - 2019/08/05 PY - 2019 N1 - https://doi.org/10.11648/j.js.20190704.15 DO - 10.11648/j.js.20190704.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 110 EP - 113 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20190704.15 AB - 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. VL - 7 IS - 4 ER -
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