The value of splenic preservation with distal pancreatectomy

A comparison between robotic-assisted laparoscopic distal pancreatectomy versus laparoscopic distal pancreatectomy

“…Another possible reason was that there was significantly more spleen‐preserving DP performed robotically compared with conventional laparoscopy. It is well known that spleen‐saving DP , especially via the Kimura technique, is a complex and highly technically‐challenging procedure which would result in longer operations times compared to DP with en bloc splenectomy .…”

Clinical outcomes for 14 consecutive patients with solid pseudopapillary neoplasms who underwent laparoscopic distal pancreatectomy

“…Lymph node metastasis seldom occurs, and lymph node scavenging serves little purpose (8,21,23). Careful steps must be taken, however, to minimize the removal of normal pancreatic tissue and maintain the functional structure of the organ, as the tumor is usually diagnosed in young women (<30 years) whose postoperative quality of life is vital to consider (10,21,22,24). The usefulness of the spleen-preserving operation should be evaluated by comparing its long-term outcome to that of the standard resection.…”

The management of insulinoma

“…4) is the procedure of choice for benign or low-grade malignant distal pancreatic disease other than carcinoma 72 . Patients who undergo distal pancreatectomy and splenectomy have significantly more postoperative complications, in particular infection, than patients who have a spleen-preserving procedure 72 . To determine completeness of tumour excision, a perioperative insulin assay is valuable.…”