Strategic Approach to the Splenic Artery in Laparoscopic Spleen-preserving Distal Pancreatectomy

被引：19
作者：
Inoko, Kazuho [1 ]
Ebihara, Yuma [1 ]
Sakamoto, Keita [2 ]
Miyamoto, Noriyuki [2 ]
Kurashima, Yo [1 ]
Tamoto, Eiji [1 ]
Nakamura, Toru [1 ]
Murakami, Soichi [1 ]
Tsuchikawa, Takahiro [1 ]
Okamura, Keisuke [1 ]
Shichinohe, Toshiaki [1 ]
Hirano, Satoshi [1 ]
机构：
[1] Hokkaido Univ, Grad Sch Med, Dept Gastroenterol Surg 2, Sapporo, Hokkaido 0608648, Japan
[2] Hokkaido Univ, Grad Sch Med, Dept Diagnost & Intervent Radiol, Sapporo, Hokkaido 0608648, Japan
来源：
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2015年 / 25卷 / 04期
关键词：
pancreatic benign; low-grade malignant tumor; laparoscopic distal pancreatectomy; spleen preserving; splenic vessel preserving; splenic artery; computed tomography; PRESERVATION; VESSELS; CONSERVATION; SPLENECTOMY; RESECTION; FISTULA; PATENCY; VEIN;
D O I：
10.1097/SLE.0000000000000182
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background:Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) is an ideal procedure in selected patients with benign or low-grade malignant tumors in the body/tail of the pancreas. We describe our procedure and experience with splenic vessel-preserving LSPDP (SVP-LSPDP) in a retrospective case series.Methods:Six consecutive patients underwent SVP-LSPDP from January 2011 to September 2013. We evaluated the courses of the splenic artery by preoperative computed tomography and applied an individualized approach (the superior approach or inferior approach) to the splenic artery.Results:All of the operations were successful. The median surgical duration was 249 minutes. The median blood loss was 0 mL. Pathologic examination revealed 4 cases of insulinoma, 1 case of solid pseudopapillary tumor, and 1 case of pancreatic metastasis from renal carcinoma.Conclusions:In performing SVP-LSPDP, it is effective to make a strategic choice between 2 different approaches according to the course of splenic artery.
引用
收藏
页码：E122 / E125
页数：4
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