Laparoscopic spleen-preserving distal pancreatectomy for pancreatic lesions
- VernacularTitle:腹腔镜保留脾脏胰体尾切除术治疗胰腺囊性疾病6例报告
- Author:
Yi-Ping MOU
;
Xiao-Wu XU
;
Qi-Long CHEN
;
Yang-Jun LI
;
Jia-Fei YAN
;
Huan-Jun YAN
;
Ke-Wei JI
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Laparoscopes;
Pancreatectomy
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in laparoscopic spleen-preserving distal panereatectomy.Methods From Nov 2003 to July 2006,six patients with distal pancreatic cystic lesions underwent laparoscopic spleen-preserving distal pancreatectomy with splenic vessels preservation. Results All operations were successful with the operative time ranging from 140~265 min and the intraoperative blood loss ranged from 350~600 ml.One case received combination resection of right adrenal adenoma,1 case with combined laparoscopic myomectomy and left ovarian teratomeetamy,1 case with combined laparoscopic myomectomy,1 case with combined laparoscopic cholecysteetomy.All patients were discharged 4 to 9 days postoperatively.The pathologic diagnosis was retained cyst in 2 cases,serous cystadenoma in 2 cases,mucious cystadenoma in 2 cases.Symptoms disappeared in all cases after operations and there was no recurrence during a follow-up period that ranged from 1 month to 31 months.Conclusions Laparoscopic spleen-preserving distal pancreatectomy with splenic vessels preservation is the most suitable procedure for the distal pancreatic benign lesions,and in experienced hands this procedure is safe and effective.