eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2015
vol. 10
 
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abstract:
Original paper

Preservation of splenic vessels during laparoscopic spleen-preserving distal pancreatectomy via lateral approach

Jia-Hui Chen
,
Kuo-Feng Huang
,
Chao-Hsu Li

Videosurgery Miniinv 2015; 10 (3): 382–388
Online publish date: 2015/09/16
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Introduction: Preserving splenic vessels during laparoscopic distal pancreatectomy (SPDP-LA) is feasible and avoids unnecessary splenectomy.

Aim: To present our outcomes for this unique technique.

Material and methods: Between January 1998 and January 2012, 6 patients who underwent SPDP-LA for benign or low malignancy tumors in the pancreatic tail were included. Clinical characteristics as well as perioperative data were retrospectively recorded.

Results: All procedures were successful, with an average operative time of 184 min (range: 88–277 min) and average blood loss of 401.7 ml (range: 10–900 ml). The mean hospital stay was 7 days. Pancreatic fistula occurred in 2 patients but was then cured by external drainage. There was no mortality. Follow-ups were available for all patients.

Conclusions: Our experience was characterized by a lack of conversions and by acceptable rates of postoperative fistula and morbidity. The lateral approach showed beneficial results in patients without complications and short post-operative hospital stays.

keywords:

distal pancreatectomy, lateral approach, spleen preserving, splenic infarction, laparoscopic surgery

  
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