Spleen-Preserving Total Pancreatectomy With Conservation of the Spleen Vessels:

Jovine, Elio; Biolchini, Federico; Cuzzocrea, D; Lazzari, Andrea; Martuzzi, Federica; Selleri, S; Lerro, Federica M; Talarico, Fernando

doi:10.1097/00006676-200403000-00013

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…A total of 30 case reports written in English, describing 50 patients, were identified 12367891011121314151617. Patient demographics and presentations are listed in Table 1.…”

Section: Casementioning

confidence: 99%

Laparoscopic total pancreatectomy for multiple metastasis of renal cell carcinoma of the pancreas: a case report and literature review

Choi

Lee

et al. 2017

Ann Hepatobiliary Pancreat Surg

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Advances in surgical techniques and laparoscopic instruments have resulted in the development of laparoscopic pancreatic surgery. Total pancreaticoduodenectomy is performed for treating benign and borderline pancreatic disease involving the whole pancreas. Here, we report a case of metastatic renal cell carcinoma in the pancreas, treated by laparoscopic pylorus-preserving total pancreaticoduodenectomy. A 59-year-old woman was diagnosed with metastatic renal cell carcinoma. Multiple metastatic lesions were found on routine follow-up. She had a history of radical video-assisted right-nephrectomy for renal cell carcinoma (conventional type, pT1) in November 2003, without any recurrence. However, in 2014, a routine health checkup revealed multiple enhancing lesions throughout the pancreas. Positron emission tomography showed a suspicious 4-cm lesion in her left thyroid. Laparoscopic pylorus-preserving total pancreaticoduodenectomy with splenectomy was performed, along with simultaneous left total thyroidectomy with central compartment node dissection for metastatic renal cell carcinomas. The total operation time was 441 min, with an estimated blood loss of 150 ml; no transfusion was administered. Her hospital stay was 12 days. The histopath report confirmed metastatic renal cell carcinoma in the pancreas and left thyroid. Based on literature reviews, we further tried to estimate the oncologic outcome of total pancreatectomy in multiple pancreatic metastasis of renal cell carcinoma. Laparoscopic pylorus-preserving total pancreaticoduodenectomy is feasible and safe, even in cases of metastatic renal cell carcinoma.

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“…A total of 30 case reports written in English, describing 50 patients, were identified 12367891011121314151617. Patient demographics and presentations are listed in Table 1.…”

Section: Casementioning

confidence: 99%

Laparoscopic total pancreatectomy for multiple metastasis of renal cell carcinoma of the pancreas: a case report and literature review

Choi

Lee

et al. 2017

Ann Hepatobiliary Pancreat Surg

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“…Several authors have described spleen-preserving distal pancreatectomy in order to reduce the changes and risks associated with splenectomy. [1][2][3][4] Complications following splenectomy include leukocytosis, thrombocytosis, overwhelming postsplenectomy sepsis, and some degree of immunodeficiency. There are few reports of spleen-preserving distal pancreatectomy: in the setting of pancreatic trauma, chronic or acute pancreatitis and for benign pancreatic tumors.…”

Section: Introductionmentioning

confidence: 99%

Open and Laparoscopic Spleen-preserving, Splenic Vessel-preserving Distal Pancreatectomy: Indications and Outcomes

Bruzoni

Sasson

2008

Journal of Gastrointestinal Surgery

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“…Furthermore, several authors [12-15], suggested spleen preserving distal pancreatectomy in order to reduce postoperative septic complications[16]. The technique of spleen preserving distal pancreatectomy and its absolute and relative contraindications have been described elsewhere [3,13,17,18]. Few retrospective studies have analyzed the influence of splenectomy in the postoperative course after distal pancreatectomy, while one study has analyzed this relationship after total pancreatectomy [3,19,20].…”

Section: Introductionmentioning

confidence: 99%