The Straightened Splenic Vessels Method Improves Surgical Outcomes of Laparoscopic Distal Pancreatectomy

2017 ◽  
Vol 34 (4) ◽  
pp. 289-297 ◽  
Author(s):  
Yuichi Nagakawa ◽  
Yatsuka Sahara ◽  
Yuichi Hosokawa ◽  
Chie Takishita ◽  
Kazuhiko Kasuya ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Surgical Outcomes ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels

The straightened splenic vessels method dramatically improves surgical outcomes after laparoscopic distal pancreatectomy

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S81
Author(s):  
Chie Takishita ◽  
Yuichi Nagakawa ◽  
Yatsuka Sahara ◽  
Yuichi Hosokawa ◽  
Tetsushi Nakajima ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Surgical Outcomes ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels

Laparoscopic distal pancreatectomy with or without splenectomy: Spleen and splenic vessels preservation does not increase morbidity

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S23
Author(s):  
Kazuhiro Suzumura ◽  
Toshihiro Okada ◽  
Yasukane Asano ◽  
Hisashi Kosaka ◽  
Tadamichi Hirano ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels ◽  
Splenic Vessels Preservation

scholarly journals Laparoscopic distal pancreatectomy with preservation of the splenic vessels

2019 ◽  
Vol 4 ◽  
pp. 98-98
Author(s):  
Viktor Justin ◽  
Sebastian Wisiak ◽  
James Elvis Waha ◽  
Selman Uranues
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Splenic Vessels

Surgical outcomes are hampered after endoscopic ultrasonography-guided ethanol lavage and/or Taxol injection in cystic lesions of the pancreas

2021 ◽  
Author(s):  
Seong-Ryong Kim ◽  
Kwang-Min Park ◽  
Dae Wook Hwang ◽  
Jae Hoon Lee ◽  
Sang Hyun Shin ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Clinical Outcomes ◽  
Endoscopic Ultrasonography ◽  
Surgical Outcomes ◽  
Pancreatic Head ◽  
Laparoscopic Distal Pancreatectomy ◽  
Ductal Adenocarcinoma ◽  
Cystic Tumor ◽  
Solid Pseudopapillary Tumor ◽  
Cystic Lesions

Abstract Background and Aims Endoscopic ultrasonography-guided ethanol lavage and Taxol injection (EUS-ELTI) in pancreatic cystic lesions have been recently performed in some medical centers. This study aimed to optimize the patient selection and analyze the outcomes in patients who underwent surgery after EUS-ELTI in pancreatic cystic lesions. Methods Among 310 patients who underwent EUS-ELTI between January 2007 and December 2014, 23 underwent surgery after EUS-ELTI owing to incomplete treatment and/or adverse events. We evaluated the surgical outcomes in patients who underwent surgery after EUS-ELTI. Then, we retrospectively compared the clinical outcomes of the patients who underwent the surgery after EUS-ELTI with those of patients who underwent upfront surgery for left-sided pancreatic lesions without the EUS-ELTI procedure. Results The pathology revealed degenerated cysts in 12 patients, mucinous cyst neoplasms in five patients, neuroendocrine tumors in two patients, and one intraductal papillary mucinous neoplasm (IPMN), one solid pseudopapillary tumor, one pancreatic ductal adenocarcinoma arising from an IPMN, and one hepatoid carcinoma. Twelve patients underwent laparoscopic distal pancreatectomy and five patients underwent open distal pancreatectomy. All six patients who had lesions in the pancreatic head underwent open pancreaticoduodenectomy. When we retrospectively compared the clinical outcomes between patients who underwent laparoscopic distal pancreatectomy after EUS-ELTI and those who did not receive the EUS-ELTI procedure, the spleen-preserving rate was 0% in the EUS-ELTI group and 61.7% (365/592) in the non-EUS-ELTI group (P < 0.001). Clinically relevant postoperative pancreatic fistulas occurred in 33.3% of patients in the EUS-ELTI group and in 6.8% of patients in the non-EUS-ELTI group (P = 0.025). The mean postoperative hospital stay was also shorter in the non-EUS-ELTI group than in the EUS-ELTI group (8.66 ± 5.66 and 13.56 ± 7.20, P = 0.032). Conclusion Surgical outcomes are compromised after EUS-ELTI in the cystic tumor of the pancreas. Further investigations are needed for investigation of the efficacy and safety of the EUS-ELTI procedure.

Impact of obesity on surgical outcomes of laparoscopic distal pancreatectomy: A Norwegian single-center study

Surgery ◽  
2016 ◽  
Vol 160 (5) ◽  
pp. 1271-1278 ◽  
Author(s):  
Mushegh A. Sahakyan ◽  
Bård Ingvald Røsok ◽  
Airazat M. Kazaryan ◽  
Leonid Barkhatov ◽  
Xiaoran Lai ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Surgical Outcomes ◽  
Laparoscopic Distal Pancreatectomy ◽  
Single Center ◽  
Single Center Study ◽  
Center Study

Surgical outcomes of laparoscopic distal pancreatectomy in elderly and octogenarian patients: a single-center, comparative study

2018 ◽  
Vol 33 (7) ◽  
pp. 2142-2151 ◽  
Author(s):  
Ke Chen ◽  
Yu Pan ◽  
Yi-ping Mou ◽  
Jia-fei Yan ◽  
Ren-chao Zhang ◽  
...  
Keyword(s):  
Comparative Study ◽  
Distal Pancreatectomy ◽  
Surgical Outcomes ◽  
Laparoscopic Distal Pancreatectomy ◽  
Single Center

scholarly journals Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels

2012 ◽  
Vol 26 (6) ◽  
pp. 1765-1771 ◽  
Author(s):  
Ho Kyoung Hwang ◽  
Young Eun Chung ◽  
Kyoung Ah Kim ◽  
Chang Moo Kang ◽  
Woo Jung Lee
Keyword(s):  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Spleen Preserving ◽  
Vascular Patency ◽  
Splenic Vessels
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