Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign Pancreas neoplasm

Abstract

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels is a relatively safe and feasible option for the management of benign tumor or borderline malignancy in the distal pancreas.

Laparoscopic distal pancreatectomy

“…Moreover, the effect of the Warshaw technique of distal pancreatectomy on residual splenic function remains unproven. We prefer to preserve the splenic vessels, and similar views have been expressed by other authorities [2,9,11,17]. However, there appears to be no difference in short-term outcome when distal pancreatectomy is performed with or without splenectomy [13].…”

Laparoscopic distal pancreatectomy in children with solid pseudopapillary tumour (Frantz tumour) – a report of two cases and review of the literature

“…However, after LDP hospital stay and convalescence are shorter and the cosmetic effect is better [21,26]. Operative time (3 h) and hospital stay (4 and 6 days) in our cases were shorter compared with adult patients [7,10,18]. On the other hand, shorter operative time is described in some recently published series, which can be explained by the increasing experience of surgeons and advances in surgical instrumentation [4,9].…”

“…To reduce the risk of post-splenectomy sepsis and haematological disorders, several authors have emphasized the benefits of spleen preservation [16,17]. The best option is conservation of both the splenic vessel and the spleen for the optimal function of the organ [15,18]. On the other hand, spleen preservation adds another level of complexity to an already difficult laparoscopic procedure.…”

Extended left‐sided pancreatectomy with spleen preservation

“…In fact, most recent reports of SPDPs appear to rely on the approach to preserve splenic artery and vein [10,11,13,20], especially when laparoscopic resection techniques are employed [15,[21][22][23]. Generally, infectious complications appear reduced after SP procedures, even when SVs are resected.…”