TY - JOUR
T1 - Laparoscopic distal pancreatectomy with splenic conservation
T2 - An operation without increased morbidity
AU - Nau, Peter
AU - Melvin, W. Scott
AU - Narula, Vimal K.
AU - Bloomston, P. Mark
AU - Ellison, E. Christopher
AU - Muscarella, Peter
PY - 2009
Y1 - 2009
N2 - 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 285mL, P=.5) or operative time (179 versus 170minutes, P=.9). The mean tumor size was not significantly different (3.1 versus 2.2cm, 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.
AB - 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 285mL, P=.5) or operative time (179 versus 170minutes, P=.9). The mean tumor size was not significantly different (3.1 versus 2.2cm, 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.
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U2 - 10.1155/2009/846340
DO - 10.1155/2009/846340
M3 - Article
C2 - 20049337
AN - SCOPUS:73549108124
SN - 1687-6121
JO - Gastroenterology Research and Practice
JF - Gastroenterology Research and Practice
M1 - 846340
ER -