Splenic vessel patency: is it real menace to perform laparoscopic splenic vessel-preserving distal pancreatectomy
10.4174/astr.2019.96.3.101
- Author:
Dae Joon PARK
1
;
In Woong HAN
;
Sang Hyup HAN
;
Sun Jong HAN
;
Young Hun YOU
;
Young Ju RHU
;
Jin Seok HEO
;
Seong Ho CHOI
;
Dong Wook CHOI
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Cardioman76@gmail.com
- Publication Type:Original Article
- Keywords:
Splenic vein;
Splenic artery;
Pancreatectomy;
Laparoscopy;
Vascular patency
- MeSH:
Constriction, Pathologic;
Follow-Up Studies;
Humans;
Laparoscopy;
Length of Stay;
Pancreatectomy;
Retrospective Studies;
Spleen;
Splenic Artery;
Splenic Vein;
Vascular Patency;
Wounds and Injuries
- From:Annals of Surgical Treatment and Research
2019;96(3):101-106
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study compared the patency of the splenic vessels between laparoscopic and open spleen and splenic vessel-preserving distal pancreatectomy. METHODS: We retrospectively reviewed a database of 137 patients who underwent laparoscopic (n = 91) or open (n = 46) spleen and splenic vessel-preserving distal pancreatectomy at a single institute from 2001 through 2015. Splenic vessel patency was assessed by abdominal computed tomography and classified into three grades according to the degree of stenosis. RESULTS: The splenic artery patency rate was similar in both groups (97.8 vs. 95.7%, P = 0.779). Also, the splenic vein patency rate was not significantly different between the 2 groups (74.7% vs. 82.6%, P = 0.521). Postoperative wound complication was significantly lower in the laparoscopic group (19.8% vs. 28.3%, P = 0.006), and hospital stay was significantly shorter in the laparoscopic group (7 days vs. 9 days, P = 0.001) than in the open group. Median follow-up periods were 22 months (3.7–96.2 months) and 31.7 months (4–104 months) in the laparoscopic and open groups, respectively. CONCLUSION: Laparoscopic distal pancreatectomy showed good splenic vessel patency as well as open distal pancreatectomy. For this reason, splenic vessel patency is not an obstacle in performing laparoscopic splenic vessel-preserving distal pancreatectomy.
