2012
DOI: 10.1159/000337312
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Postoperative Hematological Changes after Spleen-Preserving Distal Pancreatectomy with Preservation of the Splenic Artery and Vein

Abstract: Background: The aim of this study was to determine the early postoperative hematological changes after spleen-preserving distal pancreatectomy (SpDP) with preservation of the splenic artery and vein (PSAV). Methods: We reviewed 53 patients who underwent SpDP with PSAV (n = 21) or distal pancreatectomy with splenectomy (DPS; n = 32) for benign or low-grade malignant lesions between July 1998 and June 2010. Red and white blood cell (WBC) count, platelet count, serum hemoglobin, hematocrit, C-reactive protein, al… Show more

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Cited by 21 publications
(30 citation statements)
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References 107 publications
(77 reference statements)
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“…Significant postoperative thrombocytosis after splenectomy was observed in the RDP-S group but not in RDP-SP. This finding has also been reported in the literature, 21,37 and therefore spleen preservation to avoid thrombocytosis might contribute the prevention of thromboembolic events. However, the blood coagulation power of an 'oriental population' is not similar to that of a Western population.…”
Section: Discussionsupporting
confidence: 86%
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“…Significant postoperative thrombocytosis after splenectomy was observed in the RDP-S group but not in RDP-SP. This finding has also been reported in the literature, 21,37 and therefore spleen preservation to avoid thrombocytosis might contribute the prevention of thromboembolic events. However, the blood coagulation power of an 'oriental population' is not similar to that of a Western population.…”
Section: Discussionsupporting
confidence: 86%
“…Spleen infarction and gastric varices are two concerns after distal pancreatectomy with spleen preservation by the Warshaw technique. The rate of spleen infarction was reported to be 2%–74.3%, the rate of gastric varices 8.1%–52.5% and the rate of perigastric varices 25%–70% . However, they are usually asymptomatic during the post‐operative follow‐up period .…”
Section: Discussionmentioning
confidence: 99%
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“…They described that the postoperative platelet counts increased to maximum levels at 2 weeks after the operation in both patients who underwent an SVP and those who underwent a distal pancreatectomy with splenectomy. Although these early postoperative increases in the platelet count were induced by the inflammatory cytokines after the operations, the platelet counts at 3 months after the distal pancreatectomy with splenectomy were higher compared to those after SVP because of the loss of the spleen (26,27). Therefore, the late prolonged thrombocytosis might be related to the splenic function.…”
Section: Tien Et Al Reported That Postoperative Splenomegaly Followimentioning
confidence: 97%
“…The prognosis of IPMN is good compared with that of ordinary ductal adenocarcinoma, and organ-sparing surgery such as spleenpreserving distal pancreatectomy with conservation of the splenic artery and vein (Kimura's method [9,10]) may be performed [11][12][13] in carefully selected patients. However, the prognosis for IPMN with an associated invasive carcinoma is poor, and surgery at the high-grade dysplasia (non-invasive carcinoma) stage before the start of invasion is important for improving the outcome [14][15][16].…”
Section: Introductionmentioning
confidence: 99%