Abstract
Between March 2003 and March 2007, three patients with benign pancreatic tumors underwent a planned laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Four trocars were placed, and an endoscopic linear stapler was used to transect of the pancreas. The perioperative data and surgical outcomes were examined. This procedure was successfully completed in three patients. The mean operative time was 158.3 min, with mean blood loss of 14.7 ml. The postoperative pathological diagnoses included one insulinoma, one solid pseudopapillary tumor, and one intraductal papillary-mucinous adenoma. The mean size of the tumors was 29.3 mm. Oral intake was initiated on day 1.7, and the length of postoperative hospital stay was 8.7 days on average. No morbidity or mortality was observed. A laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein is a safe and feasible treatment option without compromising the splenic function for benign or borderline malignant tumors in the distal pancreas.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Leonard AS, Giebink GS, Baesl TJ, Krivit W. The overwhelming postsplenectomy sepsis problem. World J Surg 1980;4:423–432.
Malangoni MA, Dillon LD, Klamer TW, Condon RE. Factors influencing the risk of early and late serious infections in adults after splenectomy for trauma. Surgery 1984;96:775–782.
Kimura W, Inoue T, Futakawa N, Shinkai H, Han I, Muto T. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery 1996;120:885–890.
Shoup M, Brennan MF, McWhite K, Leung DH, Klimstra D, Conlon KC. The value of splenic preservation with distal pancreatectomy. Arch Surg 2002;137:164–168.
Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988;123:550–553.
Gagner M, Pomp A, Herrera MF. Early experience with laparoscopic resections of islet cell tumors. Surgery 1996;120:1051–1054.
Park AE, Heinford BT. Therapeutic laparoscopy of the pancreas. Ann Surg 2002;236:149–158.
Mahon D, Allen E, Rhodes M. Laparoscopic distal pancreatectomy: Three cases of insulinoma. Surg Endosc 2002;16:700–702.
Shimizu S, Tanaka M, Konomi H, Mizumoto K, Yamaguchi K. Laparoscopic pancreatic surgery: Current indications and surgical results. Surg Endosc 2004;18:402–406.
Han HS, Min SK, Lee HK, Kim SW, Park YH. Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm. Surg Endosc 2005;19: 1367–1369.
Mori T, Abe N, Sugiyama M, Atomi Y. Laparoscopic pancreatic surgery. J Hepatobiliary Pancreat Surg 2005;12:451–455.
Corcione F, Marzano E, Cuccurullo D, Caracino V, Pirozzi F, Settembre A. Distal pancreas surgery: outcome for 19 cases managed with a laparoscopic approach. Surg Endosc 2006;20: 1729–1732.
Underwood RA, Soper NJ. Current status of laparoscopic surgery of the pancreas. J Hepatobil Pancreat Surg 1999;6:154–164.
Thaker RI, Matthews BD, Linehan DL, Strasberg SM, Eagon JC, Hawkins WG. Staple line reinforcement with bioabsorbable mesh reduces leak rate following distal pancreatectomy. HPB 2006;8Suppl 1:43.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sasaki, A., Nitta, H., Nakajima, J. et al. Laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein: Report of three cases. Surg Today 38, 955–958 (2008). https://doi.org/10.1007/s00595-007-3738-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3738-7