+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Distal pancreatectomy without splenectomy and with preservation of splenic vessels

Distal pancreatectomy without splenectomy and with preservation of splenic vessels

Hepato-Gastroenterology 47(35): 1444-1446

Background/Aims: Conventional distal pancreatic resection routinely involves splenectomy. The awareness that spleen removal may lead to postoperative septic and hematological complications motivated the development of spleen-preserving procedures. Successful distal pancreatectomy with splenic conservation has been reported for treatment of benign pancreatic diseases of the distal pancreas. This report presents the results of spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Methodology: Ten patients underwent distal pancreatectomy with splenic vessel preservation. In all cases, both splenic vessels were separated from the pancreas towards the spleen after transecting the body of the pancreas. Results: The indications for the procedure were: neuroendocrinepancreatic tumors (n=4), cystic neoplasm of the pancreas (n=4) and cystic-papillary pancreatic tumors (n=2). Four patients developed pancreatic fistulas with spontaneous healing and there was no mortality. Conclusions: Spleen-preserving distal pancreatectomy with splenic vessel conservation can be safely performed and should be indicated in the surgical management of benign pancreatic diseases of the distal pancreas.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 010480960

Download citation: RISBibTeXText

PMID: 11100372

Related references

Severe thrombocytopenia after laparoscopic distal pancreatectomy with splenic preservation and resection of splenic vessels. Cirugia Espanola 93(10): 668-670, 2015

Distal pancreatectomy with preservation of the spleen and splenic vessels. Anz Journal of Surgery 71(12): 763-764, 2001

Splenic Preservation Versus Splenectomy During Distal Pancreatectomy: A Systematic Review and Meta-analysis. Annals of Surgical Oncology 23(2): 365-374, 2016

One early and three delayed distal pancreatectomies without splenectomy and with preservation of the splenic vessels after traumatic transection of the distal pancreas in children. European Journal of Pediatric Surgery 15(2): 132-136, 2005

Laparoscopic Spleen Preserving Distal Pancreatectomy with Splenic Vessels Preservation. Chirurgia 113(3): 412-417, 2018

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for pancreatic adenocarcinoma. North American Journal of Medical Sciences 1(1): 25-27, 2009

Spleen-preserving distal pancreatectomy with excision of splenic artery and vein: a case-matched comparison with conventional distal pancreatectomy with splenectomy. World Journal of Surgery 31(2): 375-382, 2007

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm. Surgical Endoscopy 19(10): 1367-1369, 2005

Preservation of splenic vessels during laparoscopic spleen-preserving distal pancreatectomy via lateral approach. Wideochirurgia i Inne Techniki Maloinwazyjne 10(3): 382-388, 2015

Preservation or Ligation of Splenic Vessels During Spleen-Preserving Distal Pancreatectomy: A Meta-Analysis. Journal of Investigative Surgery 32(7): 654-669, 2019

Laparoscopic Spleen-Preserving Distal Pancreatectomy (LSPDP) with Preservation of Splenic Vessels: An Inferior-Posterior Approach. Gastroenterology Research and Practice 2018: 1683719, 2018

Patency of splenic vessels after laparoscopic spleen and splenic vessel-preserving distal pancreatectomy. British Journal of Surgery 96(6): 633-640, 2009

Changes in gastrosplenic circulation and splenic function after distal pancreatectomy with spleen preservation and splenic vessel excision. Journal of Gastrointestinal Surgery 17(10): 1739-1743, 2013

Video. Laparoscopic distal pancreatectomy and splenectomy for splenic artery aneurysm. Surgical Endoscopy 24(9): 2318-2320, 2010

Study on laparoscopic spleen preserving distal pancreatectomy procedures comparing splenic vessel preservation and non-preservation. Translational Gastroenterology and Hepatology 1: 27, 2016