Laparoscopic spleen-preserving distal pancreatectomy based on the SELECT concept
10.3969/j.issn.1005-6483.2024.07.029
- VernacularTitle:基于SELECT理念腹腔镜下保留脾脏的胰体尾切除
- Author:
Shuang LI
1
;
Biao ZHANG
;
Hangyu LIU
;
Bing QI
;
Juby THOMAS
;
Guixin ZHANG
;
Qingkai ZHANG
;
Dong SHANG
Author Information
1. 116011 大连医科大学附属第一医院普外三科
- Keywords:
SELECT concept;
Combined multiple endoscopic and laparoscopic surgery;
pancreatic tumor;
spleen preservation;
distal pancreatectomy
- From:
Journal of Clinical Surgery
2024;32(7):776-779
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic distal pancreatectomy is the conventional treatment for tumors of the pancreatic body or tail.And laparoscopic spleen-preserving distal pancreatectomy has been emphasized because it can preserve the spleen's function and lower the complications following splenectomy.However,the occult onset and complex anatomical location of pancreatic tumors pose a challenge to their diagnosis and spleen-preserving distal pancreatectomy.In recent years,our team has accumulated rich experience in the diagnosis and treatment of pancreatic tumors,and innovatively proposed the"SELECT"concept(S-Single-Operator Cholangiopancreatoscopy,E-ERCP,L-Laparoscopy,E-Endoscopic ultrasound,C-Choledochoscopy/Confocal laser endomicroscopy,T-Traditional Chinese medicine)for diagnosis and treatment.Based on the various characteristics of pancreatic tumors,various endoscopic and laparoscopic techniques are applied,and an optimal combination of various minimally invasive methods is selected.Fully applying the SELECT concept to laparoscopic spleen-preserving distal pancreatectomy is conducive to accurate preoperative diagnosis,accurate intraoperative resection,prediction and treatment of postoperative complications,and one-stop diagnosis and treatment of pancreatic tumors,maximizing patient benefits.
