Spleen preserving distal pancreatectomy outside abdominal cavity

VernacularTitle:保留脾脏的腹腔外胰体尾切除术六例临床分析
Author: Jian WANG ; Shanhua BAO ; Min XIE
Publication Type:Journal Article
Keywords: Surgical procedures,operative; Pancreatic neoplasms; Spleen; Distal pancreatetomy
From: Chinese Journal of Pancreatology 2010;10(4):235-237
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility and safety of spleen-preserving distal pancreatetomy outside abdominal cavity. Methods We used the method of spleen-preserving distal pancreatetomy outside abdominal cavity for 6 patients of benign diseases of distal pancreas who were admitted in Gulou Hospital from December 2005 to December 2008. Results All patients underwent the operation successfully. The mean operation time was 180 minutes, the blood loss was 100～300 ml with a mean of 200ml. No patients needed blood transfusion. The mean post-operative hospital stay time was (14±5 ) days. One patient developed pancreatic fistula and was cured with non-operative management, there was no other complications. All patients were followed up from 3 to 24 months, and the results were excellent. Conclusions Spleen-preserving distal pancreatetomy outside abdominal cavity is safe and feasible, which may avoid the unnecessary splenectomy.