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Peritoneal "pillowcase" for the displaced spleen post-distal pancreatectomy
Sree Appu1, Amanda B Young, Nathan Lawrentschuk
1Department of Surgery, Launceston General Hospital, Launceston, Tasmania, Australia.
Background Purpose:
Spleen-preserving distal pancreatectomy, although rarely performed, has become an option for treatment of distal pancreatic neoplasms. However, the spleen, once mobilised, is often free to tort. A reliable method of fixing the spleen would be a useful adjunct to this procedure.
Methods:
We describe the use of a new technique to fix the spleen using a peritoneal "pillowcase" to envelop the spleen, thus preventing its torsion.
Results:
This patient has done well, with no problems encountered intraoperatively or postoperatively, using this new technique of spleen fixation.
Conclusions:
The use of a peritoneal "pillowcase" to envelope the spleen following distal pancreatectomy has proven a useful adjunct to this somewhat difficult surgical procedure. It may be applied in other cases where spleen fixation is necessary.
