Minimally invasive spleen-preserving distal pancreatectomy: Does splenic vessel preservation have better postoperative outcomes? A systematic review and meta-analysis

Splenic preservation in laparoscopic distal pancreatectomy

“…The present study indicated that intraoperative splenic infarction was more frequent after WT than after SVP, whereas other operative parameters were comparable between the groups. These results are similar to the findings of several meta‐analyses. Splenic preservation in the WT procedure requires preservation of both the short gastric and gastroepiploic arteries.…”

Gastric bleeding risk following spleen preserving distal pancreatectomy with excision of the splenic vessels: a long-term follow-up

“…The incidence of GV varies in the literature on the basis of the distinction between perigastric and submucosal varices, reported as 0-70% (Table 4) The average rate is 33% for perigastric varices and 16% for submucosal varices. 7,8,15,[17][18][19][20][21][22][23] We have reported similar data with 27% for perigastric varices and 14% for submucosal varices. Follow-up in these studies varied from 18 to 92 months, with one case of GI bleeding occurring 78 months after surgery.…”

“…No gastric bleeding was reported in this study. In 2015, the HPB meta-analysis of Elabbasy et al 17 examined 14 studies comparing VR-SPDP and VP-SPDP, but only seven studies reported gastric varices data. In the VR group, 28 of 135 patients had varicosities (21%), whereas, 10 of the 447 VP patients (2%) had varices.…”

Distal pancreatectomy for benign and low grade malignant tumors: Short‐term postoperative outcomes of spleen preservation—A systematic review and update meta‐analysis

“…Those challenging SPDP suggest that it is a more tedious procedure with a greater chance of adjacent vascular/organ injury [38][39][40][41]. This was not shown in our analysis.…”