Forty-five spleen-preserving distal pancreatectomy with splenic vessels resection without splenectomies. Which arteries can we rely on?

Pancreatology ◽  
2019 ◽  
Vol 19 ◽  
pp. S129
Author(s):  
Viacheslav Egorov ◽  
Roman Petrov ◽  
Kristina Dmitrieva ◽  
Dmitry Ionkin ◽  
Natalia Starostina
Keyword(s):  
Distal Pancreatectomy ◽  
Spleen Preserving ◽  
Splenic Vessels

scholarly journals Laparoscopic Spleen-Preserving Distal Pancreatectomy (LSPDP) with Preservation of Splenic Vessels: An Inferior-Posterior Approach

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Yong Fei Hua ◽  
Dipesh Kumar Yadav ◽  
Xueli Bai ◽  
Tingbo Liang
Keyword(s):  
Blood Loss ◽  
Distal Pancreatectomy ◽  
Splenic Artery ◽  
Posterior Approach ◽  
Operative Time ◽  
The Other ◽  
Intraoperative Blood Loss ◽  
Spleen Preserving ◽  
Splenic Vessels ◽  
Approach Group

Objective. To summarize the operation experience of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with preservation of splenic vessels by an inferior-posterior dissection of the pancreatic body and evaluate its feasibility. Methods. Patients undergoing LSPDS at Ningbo Li Huili Hospital and Ningbo Li Huili Eastern Hospital from January 2014 to April 2017 were recruited in this study and were analyzed retrospectively. They were divided into two groups based on the surgical approach: the inferior-posterior approach group and the other approach group. We sought to compare outcomes of the two groups. Results. The LSPDP procedure was completed successfully in 49 cases, and 48 patients had their splenic artery and vein preserved, including 26 cases in the inferior-posterior approach group and 22 cases in the other approach group. There were no significant differences between the two groups with respect to age (p=0.18), sex (p=0.56), preoperative diabetes (p=1.00), ASA grading (p=1.00), tumor size (p=0.91), intraoperative blood loss (t=−0.01, p=0.99), hospital stay (t=−0.02, p=0.98), and pancreatic fistula rates (p=1.00). Patients undergoing LSPDP by the inferior-posterior approach had a shorter operative time (t=−4.13, p<0.001) than the other approach group. Conclusions. LSPDS by the inferior-posterior approach associated with shorter operative time is safe and feasible.

scholarly journals Laparoscopic spleen-preserving distal pancreatectomy with splenic vessels preservation for pNET in a young patient

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S1018
Author(s):  
R. De Luca ◽  
G. Barile ◽  
C. Cartanese ◽  
E. Grasso ◽  
R. Lomonaco ◽  
...  
Keyword(s):  
Young Patient ◽  
Distal Pancreatectomy ◽  
Spleen Preserving ◽  
Splenic Vessels ◽  
Splenic Vessels Preservation

scholarly journals Warshaw Technique in Laparoscopic Spleen-Preserving Distal Pancreatectomy: Surgical Strategy and Late Outcomes of Splenic Preservation

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Lei Wang ◽  
Dong Wu ◽  
Yu-gang Cheng ◽  
Jian-wei Xu ◽  
Hai-bo Chu ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Splenic Abscess ◽  
Healthy Population ◽  
Low Grade ◽  
Efficient Treatment ◽  
Spleen Preserving ◽  
Significant Difference ◽  
Splenic Vessels

Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) can be accomplished with either the preservation or the resection of splenic vessels; the latter is also known as Warshaw technique. Our study is designed to investigate the operation selection strategy when proceeding LSPDP and to evaluate the long-term outcomes of patients undergoing Warshaw surgery. The medical records and follow-up data of patients who underwent LSPDP in Qilu Hospital, Shandong University, were reviewed retrospectively. A total of thirty-five patients were involved in this study, including 17 cases of patients who were treated with Warshaw procedure (WT) while the other 18 cases had splenic vessels preserved (SVP). Compared with the SVP group, the operative time and intraoperative blood loss in WT group were improved significantly. The incidence of early postoperative splenic infarction was higher in WT group. However, there was no report of splenic abscess or second operation. Follow-up data confirmed that there was no significant difference in spleen phagocytosis and immune function compared with normal healthy population. Our study confirms that LSPDP-Warshaw procedure is a safe and efficient treatment for the benign or low grade malignant tumors in distal pancreas in selected patients. The long-term spleen function is normal after Warshaw procedure. Preoperative assessment and intraoperative exploration are recommended for the selection of operation approaches.

scholarly journals Gastric bleeding risk following spleen preserving distal pancreatectomy with excision of the splenic vessels: a long-term follow-up

HPB ◽  
2017 ◽  
Vol 19 (4) ◽  
pp. 345-351 ◽  
Author(s):  
D. Louis ◽  
A. Alassiri ◽  
S. Kirzin ◽  
S. Blaye-Felice ◽  
M. Chalret du Rieu ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Bleeding Risk ◽  
Gastric Bleeding ◽  
Spleen Preserving ◽  
Long Term Follow Up ◽  
Splenic Vessels

Laparoscopic spleen-preserving distal pancreatectomy for solid pseudopapillary tumor with conservation of splenic vessels in a child

2010 ◽  
Vol 45 (7) ◽  
pp. 1525-1529 ◽  
Author(s):  
Hiroo Uchida ◽  
Chikashi Goto ◽  
Hiroshi Kishimoto ◽  
Hiroshi Kawashima ◽  
Kaori Sato ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Solid Pseudopapillary Tumor ◽  
Spleen Preserving ◽  
Splenic Vessels

Spleen-Preserving Distal Pancreatectomy with and without Preservation of the Splenic Vessels

2018 ◽  
pp. 179-185
Author(s):  
Alessandro Esposito ◽  
Luca Landoni ◽  
Luca Casetti ◽  
Stefano Andrianello ◽  
Giovanni Butturini ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Spleen Preserving ◽  
Splenic Vessels

Short-Term Outcomes After Spleen-Preserving Minimally Invasive Distal Pancreatectomy With or Without Preservation of Splenic Vessels

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Maarten Korrel ◽  
Sanne Lof ◽  
Bilal Al Sarireh ◽  
Bergthor Björnsson ◽  
Ugo Boggi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Short Term ◽  
Spleen Preserving ◽  
Splenic Vessels

Preservation or Ligation of Splenic Vessels During Spleen-Preserving Distal Pancreatectomy: A Meta-Analysis

2018 ◽  
Vol 32 (7) ◽  
pp. 654-669 ◽  
Author(s):  
Bing-Qi Li ◽  
Yi-Xian Qiao ◽  
Jing Li ◽  
Wen-Qiang Yang ◽  
Jun-Chao Guo
Keyword(s):  
Distal Pancreatectomy ◽  
Meta Analysis ◽  
Spleen Preserving ◽  
Splenic Vessels

Perioperative and long-term results of laparoscopic spleen-preserving distal pancreatectomy with or without splenic vessels conservation: A retrospective analysis

2011 ◽  
Vol 105 (4) ◽  
pp. 387-392 ◽  
Author(s):  
Giovanni Butturini ◽  
Marco Inama ◽  
Giuseppe Malleo ◽  
Riccardo Manfredi ◽  
Gian Luigi Melotti ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Distal Pancreatectomy ◽  
Long Term Results ◽  
Spleen Preserving ◽  
Splenic Vessels
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