Open and laparoscopic spleen-preserving, splenic vessel-preserving distal pancreatectomy: Indications and outcomes

Matias Bruzoni, Aaron R. Sasson

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Background: Spleen-preserving distal pancreatectomy has been described lately in order to reduce the risks associated with splenectomy. The aim of this study is to report a series of open and laparoscopic distal pancreatectomies with splenic vessel preservation. Methods: From June 2001 to April 2007, 11 spleen-preserving distal pancreatectomies were performed, utilizing open and laparoscopic techniques. The main variables recorded were demographics, intra- and postoperative complications, and final pathology results. Results: All 11 spleen-preserving distal pancreatectomies were performed successfully. Laparoscopic resection was possible in seven patients. Postoperative morbidity consisted of one pancreatic fluid collection. The overall incidence of pancreatic leak was 18%. The final pathology revealed serous cystadenoma in 36% of the cases, neuroendocrine tumor in two cases, three mucinous cystadenomas, one carcinoid tumor, and one intrapancreatic spleen. With a median follow-up of 26 months, no splenic vein thrombosis was detected. Conclusions: Open or laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation is a feasible and safe procedure. In selected cases of cystic lesions and low grade neoplasms, distal pancreatectomy with splenic preservation is possible.

Original languageEnglish (US)
Pages (from-to)1202-1206
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume12
Issue number7
DOIs
StatePublished - Jul 2008

Keywords

  • Laparoscopy
  • Pancreatic resection
  • Splenic preservation

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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