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Extended left-sided pancreatectomy with spleen preservation
Arash Mohebati1, Roderich E Schwarz
1Division of Surgical Oncology, Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, The Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Journal of Surgical Oncology
|December 1, 2007
Summary
Spleen preservation during distal pancreatectomy (DP) is feasible and safe, even with splenic vessel resection. This approach offers favorable outcomes and minimizes spleen-related complications.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Abdominal Surgery
Background:
- Distal pancreatectomy (DP) is often performed with splenectomy.
- Splenectomy carries potential adverse effects.
- Spleen preservation (SP) is achievable without preserving splenic vessels (SVs).
Purpose of the Study:
- To assess the feasibility and outcomes of spleen preservation (SP) during distal pancreatectomy (DP).
Main Methods:
- Retrospective review of distal pancreatectomy (DP) cases.
- Analysis of spleen preservation (SP) rates and outcomes.
- Evaluation of complications associated with SP during DP.
Main Results:
- Spleen preservation (SP) was successful in 97% of eligible distal pancreatectomy (DP) cases.
- Splenic vessel (SV) resection occurred in 82% of SP cases.
- The postoperative complication rate was 24%, with a 5% pancreatic fistula rate; no deaths occurred.
Conclusions:
- Spleen preservation (SP) during distal pancreatectomy (DP) is a safe and effective procedure.
- Favorable outcomes and low spleen-specific complication rates support routine SP with SV resection.
- This approach is viable for both open and laparoscopic distal pancreatectomy (DP).
