2019
DOI: 10.1590/0102-672020190001e1461
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Abstract: Background: Laparoscopic distal pancreatectomy (LDP) is the preferred approach for resection of tumors in the distal pancreas because of its many advantages over the open approach. Aim: To analyse and compare short and long-term outcomes from LDP performed through two different techniques: with splenectomy vs. spleen preservation and splenic vessel preservation. Method: Fifty-eight patients were operated and subsequently divided between two groups: Group 1, LDP with splenectomy (LDPS); and Group 2, LDP with sp… Show more

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Cited by 5 publications
(6 citation statements)
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“…DP can be performed with or without splenectomy, depending on the nature of the lesions (benign or malignant), histologic type (neuroendocrine tumors can be removed with preservation of the spleen), and local invasion. 6 DP with splenectomy is a widely performed and safe laparoscopic procedure; nevertheless, because of the immunologic and hematological advantages associated with splenic preservation, the choice depends on various factors. In our study, the splenectomy rate in the ODP group was higher than in the LDP group in all patients and was higher in the ODP group even after IPTW.…”
Section: Discussionmentioning
confidence: 99%
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“…DP can be performed with or without splenectomy, depending on the nature of the lesions (benign or malignant), histologic type (neuroendocrine tumors can be removed with preservation of the spleen), and local invasion. 6 DP with splenectomy is a widely performed and safe laparoscopic procedure; nevertheless, because of the immunologic and hematological advantages associated with splenic preservation, the choice depends on various factors. In our study, the splenectomy rate in the ODP group was higher than in the LDP group in all patients and was higher in the ODP group even after IPTW.…”
Section: Discussionmentioning
confidence: 99%
“…It causes less postoperative pain, reduces the duration of hospitalization, and leads to earlier recovery with lower morbidity. [1][2][3]6,[9][10][11][12][13][14][15][16][17][18][19][20] The results from 2 RCTs and several multicenter observational studies comparing LDP with ODP have been reported, but few reports are based on large-scale real-world data. Hence, there is a risk of bias against ODP because of the inclusion of select patients, experiences of select surgeons, reporting of studies with favorable outcomes, and unbalanced comparison without adjustment for confounders.…”
mentioning
confidence: 99%
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“…En un estudio comparativo de reciente publicación, se verificó que la pancreatectomía con y sin preservación esplénica son similares; con la diferencia de mayor pérdida hemática y tiempo quirúrgico cuando se recurre a la esplenectomía. Por otra parte, conservar el bazo se asoció con evitar inmunizaciones periódicas en pacientes con preservación de bazo y de vasos esplénicos (Pais-Costa et al, 2019). Por otra parte, las enucleaciones y las pancreatectomías centrales son constituyen estrategias indicadas sólo para lesiones benignas o limítrofes, siempre que una biopsia contemporánea no muestre características de malignidad (Hackert et al, 2017).…”
Section: Discussionunclassified
“…Among these surgeries, laparoscopic distal pancreatectomy (LDP) is the most accepted in the literature to date ( 1 ). Recent studies have demonstrated that the LDP approach is often recommended because of reduced blood loss and shorter hospital length of stay compared to the traditional open procedure ( 2 , 3 ). Furthermore, since the first robot-assisted pancreatic surgery was reported, approximately 200 robot-assisted distal pancreatectomies (RDPs) have been reported ( 4 ) with significant advantages of three-dimensional visual fields and highly flexible functions ( 5 ).…”
Section: Introductionmentioning
confidence: 99%