Laparoscopic resection of the pancreatic tail with preservation of the spleen and splenic vessels

ASVIDE ◽  
2019 ◽  
Vol 6 ◽  
pp. 262-262
Author(s):  
Viktor Justin ◽  
Sebastian Wisiak ◽  
James Elvis Waha ◽  
Selman Uranues
Keyword(s):  
Laparoscopic Resection ◽  
Pancreatic Tail ◽  
Preservation Of The Spleen ◽  
Splenic Vessels

scholarly journals Laparoscopic Resection of the Pancreatic Tail with Preservation of the Spleen in a Patient with a Large Pseudopapillary Tumor of the Pancreas

Folia Medica ◽  
2014 ◽  
Vol 56 (1) ◽  
pp. 56-59
Author(s):  
Rosen S. Dimov ◽  
Rangel I. Kantchev ◽  
Boris G. Boev ◽  
Todor I. Ivanov ◽  
Ilia A. Apostolov ◽  
...  
Keyword(s):  
Blood Supply ◽  
Laparoscopic Resection ◽  
Postoperative Recovery ◽  
Therapeutic Procedure ◽  
Pancreatic Tail ◽  
Aesthetic Result ◽  
Preservation Of The Spleen ◽  
Resection Of The Pancreas

ABSTRACT Laparoscopic resections of the pancreas have gained in popularity in the last few years. Those preserving the integrity of the spleen are performed very rarely and are a challenge for every surgeon. We hereby report a case of laparoscopic resection of the pancreatic tail with preservation of the spleen and the integrity and the blood supply to the spleen in a 26 year-old patient with a large pseudopapillary tumor of the pancreas. Postoperative recovery was quick and without complications. The functional and aesthetic result was satisfactory. Laparoscopic resection of the pancreas is a safe and effective therapeutic procedure in selected patients

Lateral Laparoscopic Approach to Pancreatic Tail Insulinomas

2012 ◽  
Vol 4 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Deepak Abraham ◽  
Jinu Kurian Thomas ◽  
Philip Joseph ◽  
MJ Paul
Keyword(s):  
Laparoscopic Surgery ◽  
Traditional Approach ◽  
Laparoscopic Approach ◽  
Lateral Approach ◽  
Pancreatic Tumors ◽  
Endocrine Tumors ◽  
Pancreatic Tail ◽  
First Case ◽  
Pancreatic Endocrine Tumors ◽  
Splenic Vessels

ABSTRACT Pancreatic endocrine tumors are relatively rare lesions and laparoscopic surgery is being increasingly used, especially for insulinomas because of their relatively small size and low incidence of malignancy. Laparoscopic approach to pancreatic tumors has been described in the supine position, transomentally via the lesser sac with anterior stomach retraction. We propose a simplified lateral laparoscopic approach to insulinomas localized preoperatively to the tail or distal body of pancreas. Four patients with pancreatic tail insulinomas underwent laparoscopic surgery between November 2006 and February 2008. Diagnosis was confirmed by fasting sugar, insulin and proinsulin assays. Lesions were localized by multiphasic CT scan/MRI scan and endoscopic ultrasound. All these cases had definitely identifiable enhancing lesions in the distal body/tail in relation to the splenic hilum that appeared accessible by a lateral approach. Except for the first case which was done through the traditional supine approach, the other cases were done by the lateral approach. The patients were positioned right lateral with a kidney bridge. Four subcostal ports were placed and the left colon and spleen with pancreatic tail were mobilised in the same fashion as for splenectomy or adrenalectomy. Tumors were easily identifiable corresponding to the imaging studies. Laparoscopic enucleation was successfully completed in all four patients with lesions in the tail of pancreas, one by the traditional approach and other three by the proposed lateral approach. One patient had associated splenectomy because of the proximity of the lesion to the splenic vessels. Two patients had minor pancreatic leak managed conservatively. The left lateral transperitoneal laparoscopic approach to insulinomas located in the tail of pancreas is feasible and safe. The procedure can be done with ease by surgeons who are familiar with adrenalectomy and splenectomy. How to cite this article Thomas JK, Abraham D, Joseph P, Paul MJ. Lateral Laparoscopic Approach to Pancreatic Tail Insulinomas. World J Endocr Surg 2012;4(1):3-7.

Laparoscopic resection of the pancreatic tail with splenic preservation

2006 ◽  
Vol 192 (2) ◽  
pp. 257-261 ◽  
Author(s):  
Selman Uranues ◽  
Orhan Alimoglu ◽  
Boban Todoric ◽  
Necati Toprak ◽  
Thomas Auer ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Splenic Preservation ◽  
Pancreatic Tail

Laparoscopic Resection of Pediatric Solid Pseudopapillary Tumors of the Pancreas

2021 ◽  
pp. 000313482110604
Author(s):  
Jan A. Niec ◽  
Muhammad O.A. Ghani ◽  
Melissa A. Hilmes ◽  
Katlyn G. McKay ◽  
Hernan Correa ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Patient Characteristics ◽  
Pediatric Radiologist ◽  
Splenic Preservation ◽  
Open Resection ◽  
Full Diet ◽  
Average Residual ◽  
Splenic Vessels ◽  
Short Gastric Vessels ◽  
Solid Pseudopapillary Tumors

Background Solid pseudopapillary tumors (SPTs) of the pancreas arise rarely in children, are often large, and can associate intimately with splenic vessels. Splenic preservation is a fundamental consideration when resecting distal SPT. Occasionally, the main splenic vessels must be divided to resect the SPT with negative margins, but the spleen can be preserved if the short gastric vessels remain intact (ie, Warshaw procedure). The purpose of this study was to evaluate outcomes of distal pancreatectomy (DP) for SPT in children and to highlight 2 cases of splenic preservation using the Warshaw procedure. Methods Patients 19 years and younger who were treated at a single children’s hospital between July 2004 and January 2021 were examined. Patient characteristics were collected from the electronic medical record. A pediatric radiologist calculated SPT and pre- and post-operative (ie, non-infarcted) splenic volumes. Results Eleven patients received DP for SPT. Six DPs were performed open and 5 laparoscopically. The spleen was preserved in 3 open and 4 laparoscopic DPs. A laparoscopic Warshaw procedure was performed in 2 patients. Laparoscopic resection associated with less frequent epidural use ( P = .015), shorter time to full diet ( P = .030), and post-operative length of stay ( P = .009), compared to open resection. Average residual splenic volume after the laparoscopic Warshaw procedure was 70% of preoperative volume. Discussion Laparoscopic DP for pediatric SPT achieved similar oncologic goals to open resection. Splenic preservation was feasible with laparoscopy in most cases and was successfully supplemented with the Warshaw procedure, which has not been previously reported for SPT resection in children.

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