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

Abstract

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.

• Authors: Jia-Hui Chen, Kuo-Feng Huang, Chao-Hsu Li
• Journal: Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques (Wideochir Inne Tech Maloinwazyjne) Vol. 10 Issue 3 Pg. 382-8 (Sep 2015) ISSN: 1895-4588 [Print] Poland
• PMID: 26649084 (Publication Type: Journal Article)