The left anterior pararenal space approach in laparoscopic distal pancreatectomy with splenic preservation
10.3760/cma.j.issn.1007-8118.2014.01.010
- VernacularTitle:左肾旁前间隙入路在保留脾脏的腹腔镜胰体尾切除术的应用
- Author:
Weiding WU
;
Zhiming HU
;
Chengwu ZHANG
;
Yuhua ZHANG
;
Minjie SHANG
;
Yiding LU
;
Dajian ZHAO
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Pancreatectomy;
Preservation of spleen;
Operating approach
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(1):35-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety of the left anterior pararenal space approach in laparoscopic distal pancreatectomy with splenic preservation.Methods 30 patients operated between August 2008 and September 2013 were retrospectively reviewed.Results Of the 30 patients,28 underwent laparoscopic distal pancreatectomy with preservation of splenic artery and vein,2 underwent laparoscopic distal pancreatectomy with division of the splenic artery and vein and preservation of the short gastric vessels.All the 30 patients had their operations carried out successfully with an average operative time of (55 ± 38) min,blood loss (100 ± 48) ml and duration of hospitalization 7.8 d.Pancreatic fistula occurred in 2 patients and it healed spontaneously on drainage.Partial splenic infarction occurred in 1 patient.The pathological lesions were serous cystadenoma in 6 patients,mucinous cystadenoma in 6 patients,insulinoma in 5 patients,solid pseudopapillary tumor in 6 patients,chronic pancreatitis presenting as a mass in 3 patients,and pancreatic cyst in 4 patients.Conclusions The left anterior pararenal space approach was safe and efficacious in distal pancreatectomy with splenic preservation.If the pancreatic lesion was big and compressed the splenic artery and vein,laparoscopic distal pancreatectomy with division of the splenic artery and vein and preservation of the short gastric vessels was the procedure of choice.
