Open and Laparoscopic Spleen-preserving,Splenic Vessel-preserving Distal Pancreatectomy: Indications and Outcomes |
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Authors: | Matias Bruzoni Aaron R. Sasson |
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Affiliation: | (1) Department of Surgery, University of Nebraska Medical Center, 984030 Nebraska Medical Center, Omaha, NE 68198-4030, USA;(2) University of Nebraska Medical Center/Eppley Cancer Center, Omaha, NE, USA |
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Abstract: | Background Spleen-preserving distal pancreatectomy has been described lately in order to reduce the risks associated with splenectomy. The aim of this study is to report a series of open and laparoscopic distal pancreatectomies with splenic vessel preservation. Methods From June 2001 to April 2007, 11 spleen-preserving distal pancreatectomies were performed, utilizing open and laparoscopic techniques. The main variables recorded were demographics, intra- and postoperative complications, and final pathology results. Results All 11 spleen-preserving distal pancreatectomies were performed successfully. Laparoscopic resection was possible in seven patients. Postoperative morbidity consisted of one pancreatic fluid collection. The overall incidence of pancreatic leak was 18%. The final pathology revealed serous cystadenoma in 36% of the cases, neuroendocrine tumor in two cases, three mucinous cystadenomas, one carcinoid tumor, and one intrapancreatic spleen. With a median follow-up of 26 months, no splenic vein thrombosis was detected. Conclusions Open or laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation is a feasible and safe procedure. In selected cases of cystic lesions and low grade neoplasms, distal pancreatectomy with splenic preservation is possible. Presented at: 2007 American Hepato-Pancreato-Biliary Association. April 19–22, 2007, Las Vegas, NV, USA. |
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Keywords: | Laparoscopy Pancreatic resection Splenic preservation |
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