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Preservation of splenic vessels during laparoscopic spleen-preserving distal pancreatectomy via lateral approach.
- Source :
-
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques [Wideochir Inne Tech Maloinwazyjne] 2015 Sep; Vol. 10 (3), pp. 382-8. Date of Electronic Publication: 2015 Sep 16. - Publication Year :
- 2015
-
Abstract
- Introduction: Preserving splenic vessels during laparoscopic distal pancreatectomy (SPDP-LA) is feasible and avoids unnecessary splenectomy.<br />Aim: To present our outcomes for this unique technique.<br />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.<br />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.<br />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.
Details
- Language :
- English
- ISSN :
- 1895-4588
- Volume :
- 10
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
- Publication Type :
- Academic Journal
- Accession number :
- 26649084
- Full Text :
- https://doi.org/10.5114/wiitm.2015.54188