Laparoscopic Distal Pancreatectomy with Preservation of the Spleen

Ueno, Takayoshi; Oka, Masaaki; Nishihara, Kenji; Yamamoto, Koutaroh; Nakamura, Mitsuo; Yahara, Noboru; Adachi, Tadafumi

doi:10.1097/00129689-199908000-00013

Cited by 18 publications

(18 citation statements)

References 3 publications

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“…As an alternative method, Warshaw has described a technique for distal pancreatectomy and conservation of the spleen that divides the splenic artery and vein but preserves the short gastric vessels [38]. This technique of spleen salvage has also been applied in various reports of laparoscopic distal pancreatic resection [8,34,37].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic pancreatic surgery in patients with chronic pancreatitis

et al. 2002

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This study provides information about the possibilities of performing laparoscopic surgery in patients with chronic pancreatitis. Laparoscopic distal pancreatectomy with preservation of the splenic vessels and laparoscopic transgastric drainage are feasible and safe techniques. They offer obvious advantages, such as reduction of the parietal damage to the abdomen, a shorter hospital stay, and an earlier postoperative recovery than can be obtained with conventional open pancreatic resection.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic pancreatic surgery in patients with chronic pancreatitis

et al. 2002

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“…Although some researchers [13,14,16,17] have recommended dividing the splenic artery and vein at the neck of the pancreas to avoid hazardous bleeding from the splenic vessel, preservation of splenic vessels, both artery and vein, was possible in our experience as well as in other reported cases [2].…”

Section: Discussionmentioning

confidence: 65%

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign Pancreas neoplasm

et al. 2005

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“…these circumstances, of course, the patient should be hospitalized and closely monitored. When surgery becomes necessary, spleen-conserving operations such as splenorrhaphy 16 , vascular occlusion [17][18][19][20][21][22] and partial splenectomy [23][24][25][26] should be attempted. If the organ has been completely destroyed, autoimplantation should be attempted 27 .…”

Section: Resultsmentioning

confidence: 99%

Subtotal laparoscopic splenectomy in rats with preservation of the inferior pole

Silva

Paulo

2011

Acta Cir. Bras.

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Purpose:To evaluate the feasibility and safety of subtotal splenectomy by laparoscopy with inferior pole preservation and to determine the viability of the splenic remnant. Methods: Twenty male Wistar rats weighing between 365 g and 474 g (mean 417.92 ± 36.15g SD) were operated and randomly assigned to two groups : Group 1 rats were killed on postoperative day 10 (n = 10), and Group 2 on the postoperative day 80 (n = 10). Both the inferior splenic pole and the superior part of the spleen, which was used as a control to measure inferior pole viability, were weighed and morphologically examined. Results: The technique was feasible in all cases. There were two postoperative deaths on immediate postoperative and one not well defined. The average weight percentage of the inferior pole, measured indirectly on the 10th day, was 53.67% ± 11.59% and on the 80th day was 62.69% ± 6.89%. The inferior pole was necrotic, with abscess formation in one case (5.9%) and appeared normal in all other cases. Microscopy showed features that were compatible with normality. Conclusions: Subtotal splenectomy with preservation of the inferior pole by laparoscopy was feasible and safety. The lower splenic pole was viable in 94.1% of animals. Key words: Spleen. Splenectomy. Laparoscopy. Rats. RESUMOObjetivo: Avaliar a exequibilidade e a segurança da esplenectomia subtotal com preservação do polo inferior do baço por videolaparoscopia, e a viabilidade do referido polo. Métodos: 20 ratos Wistar, machos, pesando entre 365g e 474g (MA 417,92 ± 36,15g) foram operados e distribuídos em dois grupos de acordo com a época da retirada do polo inferior para estudo: grupo 1 do 10º dia, (n= 10), grupo 2, do 80º dia (n=10). A porção superior do baço que serviu de controle da viabilidade do pólo inferior e esse remanescente, retirados no término do experimento, foram medidos, pesados e enviados para exame morfológico. Resultados: A técnica foi exeqüível em todos os casos. O peso médio percentual do polo inferior avaliado de forma indireta no 10º dia foi 53,67% ± 11,59%, e no 80º dia 62,69% ± 6,89%. Houve dois óbitos após a cirurgia, provavelmente por mal condução da anestesia e/ou do pneumoperitônio, e um tardiamente por causa desconhecida. O exame macro e microscópico do polo inferior nos 17 animais sobreviventes e no que faleceu tardiamente mostrou necrose em um caso (5,9%). Conclusões: A esplenectomia subtotal com preservação do pólo inferior por videolaparoscopia em ratos foi exequível e segura. O polo inferior do baço mostrou-se viável em 94,1% dos animais. Descritores: Baço. Esplenectomia. Laparoscopia. Ratos.

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Laparoscopic Distal Pancreatectomy with Preservation of the Spleen

Cited by 18 publications

References 3 publications

Laparoscopic pancreatic surgery in patients with chronic pancreatitis

Laparoscopic pancreatic surgery in patients with chronic pancreatitis

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign Pancreas neoplasm

Subtotal laparoscopic splenectomy in rats with preservation of the inferior pole

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