학술논문
Laparoscopic spleen-preserving distal pancreatectomy for pancreatic neoplasms: a retrospective study.
Document Type
Academic Journal
Author
Yan JF; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Xu XW; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Jin WW; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Huang CJ; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Chen K; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Zhang RC; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Harsha A; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.; Mou YP; Jia-Fei Yan, Xiao-Wu Xu, Wei-Wei Jin, Chao-Jie Huang, Ke Chen, Ren-Chao Zhang, Ajoodhea Harsha, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Institute of Micro-invasive Surgery, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
Source
Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Internet ISSN: 2219-2840 (Electronic) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: To describe the clinical characteristics, technical procedures, and outcomes of patients undergoing laparoscopic spleen-preserving distal pancreatectomy (LSPDP) for benign and malignant pancreatic neoplasms.
Methods: The clinical data of 38 patients who underwent LSPDP in the Sir Run Run Shaw Hospital between January 2003 and August 2013 were analyzed retrospectively. Surgical techniques for LSPDP included preservation of the splenic artery and vein (Kimura's technique) and ligation of the splenic pedicle with preservation of the short gastric vessels (Warshaw's technique).
Results: There were no conversions to open surgery in the 38 patients. Splenic vessels were conserved during spleen-preserving pancreatectomy, except in two patients who underwent resection of the splenic vessels and preservation only of the short gastric vessels. The mean operation time was 123.2 ± 52.4 min, the mean intraoperative blood loss was 78.2 ± 39.5 mL, and the mean postoperative hospital stay was 7.6 ± 2.9 d. The overall rate of postoperative complications was 18.4% (7/38), and the rate of clinical pancreatic fistula was 13.2% (5/38). All postoperative complications were treated conservatively. The postoperative pathological diagnoses were 22 cases of benign pancreatic disease and 16 cases of borderline or low-grade malignant lesions. During a median follow-up of 38 mo (range: 5-133 mo), no recurrence was observed.
Conclusion: LSPDP is a safe, feasible and effective procedure for the treatment of benign and low-grade malignant tumors of the distal pancreas.
Methods: The clinical data of 38 patients who underwent LSPDP in the Sir Run Run Shaw Hospital between January 2003 and August 2013 were analyzed retrospectively. Surgical techniques for LSPDP included preservation of the splenic artery and vein (Kimura's technique) and ligation of the splenic pedicle with preservation of the short gastric vessels (Warshaw's technique).
Results: There were no conversions to open surgery in the 38 patients. Splenic vessels were conserved during spleen-preserving pancreatectomy, except in two patients who underwent resection of the splenic vessels and preservation only of the short gastric vessels. The mean operation time was 123.2 ± 52.4 min, the mean intraoperative blood loss was 78.2 ± 39.5 mL, and the mean postoperative hospital stay was 7.6 ± 2.9 d. The overall rate of postoperative complications was 18.4% (7/38), and the rate of clinical pancreatic fistula was 13.2% (5/38). All postoperative complications were treated conservatively. The postoperative pathological diagnoses were 22 cases of benign pancreatic disease and 16 cases of borderline or low-grade malignant lesions. During a median follow-up of 38 mo (range: 5-133 mo), no recurrence was observed.
Conclusion: LSPDP is a safe, feasible and effective procedure for the treatment of benign and low-grade malignant tumors of the distal pancreas.