Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreas

Fernández‐Cruz, Laureano; Martínez, Isidro; Gilabert, Rosa; Cesar‐Borges, Gleydson; Astudillo, E.; Navarro, Salvador

doi:10.1016/j.gassur.2003.11.014

Cited by 166 publications

(142 citation statements)

References 33 publications

(43 reference statements)

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“…At the same time, laparoscopic surgical techniques have become well established in recent years, and several reports on laparoscopic distal pancreatectomy for low-grade malignant pancreatic tumors have been published (6)(7)(8)(9)(10)(11). In the Warshaw technique, the postoperative splenic circulation is maintained by the collateral vessels via the short gastric vessels.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure

et al. 2014

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“…Although many groups have advocated this method because of the shorter operating time and less blood loss, we do not routinely use the Warshaw technique due to the risk of splenic complications, such as splenic infarction. Symptomatic splenic infarction has been reported to occur in 12-20 % of cases [16,17]. In the present series, we performed the Warshaw technique in only two patients, one of whom developed splenic infarction.…”

Section: Discussionmentioning

confidence: 72%

Comparison of Laparoscopic Distal Pancreatectomy with or without Splenic Preservation

Jiang

Wang

et al. 2013

Indian J Surg

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Laparoscopic distal pancreatectomy (LDP) has gained large popularity in recent years, although the choice of whether to preserve the spleen has remained inconsistent. The aim of our study was to report our experiences with LDP and to provide evidence for the safety of the operative technique and an evaluation index of splenic function. We retrospectively evaluated all LDPs performed at our institution between March 2008 and February 2012. Cases were divided into a laparoscopic spleen-preserving distal pancreatectomy (LSPDP) group (n = 14) and an LDP with splenectomy (LDPS) group (n =19). Parametric and nonparametric statistical analyses were used to compare perioperative and oncologic outcomes. Demographic characteristics, operating time, length of stay, estimated blood loss, transfusion requirement, pathologic diagnosis, and complication rate were similar between groups. Patients who underwent LDPS tended to have larger masses and lower pancreatic fistula rates, but these differences were not significant. White blood cell (WBC) counts were significantly higher in the LDPS group than in the LSPDP group on postoperative days 1 and 7. To avoid splenectomy-associated complications, preservation of the spleen and especially the splenic vessels are preferred. This procedure can be performed safely and feasibly. Lower postoperative WBC counts may imply better splenic function.

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“…En la actualidad existen pocos informes de PDL preservadora del bazo en pacientes con neoplasias quís-ticas del páncreas con resultados exitosos (26)(27)(28)(29)(30)(31).…”

Section: Discussionunclassified

Pancreatectomía distal laparoscópica con preservación del bazo para el tratamiento del tumor pseudopapilar del páncreas: informe de un caso y revisión de la literatura

Salinas-Parra

Valencia-Agudelo

Torres-Rincón

et al. 2017

iatreia

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-Calle J. Pancreatectomía distal laparoscópica con preservación del bazo para el tratamiento del tumor pseudopapilar del páncreas: informe de un caso y revisión de la literatura. Iatreia. 2017 Abr-Jun;30(2):208-215. DOI 10.17533/udea.iatreia.v30n2a10. RESUMENEl tumor sólido pseudopapilar es una neoplasia pancreática infrecuente, pero los informes sobre ella han aumentado en las últimas dos décadas; es más frecuente en mujeres jóvenes en la segunda y tercera décadas de la vida y tiene riesgo de transformación maligna. Su tratamiento es la resección pancreática. En la actualidad, la pancreatectomía laparoscópica es el procedimiento asociado a menos morbilidad posoperatoria en comparación con la pancreatectomía abierta; usualmente este procedimiento se acompaña de esplenectomía debido a las dificultades anatómicas en la disección de los vasos esplénicos, pero la resección del bazo tiene implicaciones en la fisiología inmunológica por lo que su preservación conlleva una disminución de la morbilidad. Se presenta el caso de una paciente joven con un tumor sólido pseudopapilar a quien se le hizo pancreatectomía distal por laparoscopia con preservación del bazo; el resultado fue exitoso.

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Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreas

Cited by 166 publications

References 33 publications

Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure

Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure

Comparison of Laparoscopic Distal Pancreatectomy with or without Splenic Preservation

Pancreatectomía distal laparoscópica con preservación del bazo para el tratamiento del tumor pseudopapilar del páncreas: informe de un caso y revisión de la literatura

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