Laparoscopic Distal Pancreatectomy with Splenic Conservation : An Operation without Increased Morbidity

Joint Authors

Melvin, W. Scott
Bloomston, P. Mark
Narula, Vimal K.
Ellison, E. Christopher
Nau, Peter
Muscarella, Peter

Source

Gastroenterology Research and Practice

Issue

Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2009-12-16

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Diseases

Abstract EN

Objectives.

The advent of minimally invasive techniques was marked by a paradigm shift towards the use of laparoscopy for benign distal pancreatic masses.

Herein we describe one center's experience with laparoscopic distal pancreatectomy.

Methods.

A retrospective chart review was performed for all distal pancreatectomies completed laparoscopically from 1999 to 2009.

Outcomes from those cases completed with a concurrent splenectomy were compared to the spleen-preserving procedures.

Results.

Twenty-four patients underwent laparoscopic distal pancreatectomy.

Seven had spleen-conserving operations.

There was no difference in the mean estimated blood loss (316 versus 285 mL, P=.5) or operative time (179 versus 170 minutes, P=.9).

The mean tumor size was not significantly different (3.1 versus 2.2 cm, P=.9).

There was no difference in the average hospital stay (7.1 versus 7.0 days, P=.7).

Complications in the spleen-preserving group included one iatrogenic colon injury, two pancreatic fistulas, and two cases of iatrogenic diabetes.

In the splenectomy group, two developed respiratory failure, three acquired iatrogenic diabetes, and two suffered pancreatic fistulas (71% versus 41% , P=.4).

Conclusions.

The laparoscopic distal pancreatectomy is a safe operation with a low morbidity.

Splenic conservation does not significantly increase the morbidity of the procedure.

American Psychological Association (APA)

Nau, Peter& Melvin, W. Scott& Narula, Vimal K.& Bloomston, P. Mark& Ellison, E. Christopher& Muscarella, Peter. 2009. Laparoscopic Distal Pancreatectomy with Splenic Conservation : An Operation without Increased Morbidity. Gastroenterology Research and Practice،Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-502888

Modern Language Association (MLA)

Nau, Peter…[et al.]. Laparoscopic Distal Pancreatectomy with Splenic Conservation : An Operation without Increased Morbidity. Gastroenterology Research and Practice No. 2009 (2009), pp.1-5.
https://search.emarefa.net/detail/BIM-502888

American Medical Association (AMA)

Nau, Peter& Melvin, W. Scott& Narula, Vimal K.& Bloomston, P. Mark& Ellison, E. Christopher& Muscarella, Peter. Laparoscopic Distal Pancreatectomy with Splenic Conservation : An Operation without Increased Morbidity. Gastroenterology Research and Practice. 2009. Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-502888

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-502888