Clinical analysis of splenic circulation control technology applied in minimally invasive radical resection of pancreatic neck and body cancer
10.3760/cma.j.cn112139-20250424-00217
- VernacularTitle:微创入路胰腺颈体癌根治术中应用脾循环控制技术的临床分析
- Author:
Qicong ZHU
1
;
Ze JIN
;
Weiwei JIN
;
Yiping MOU
;
Yucheng ZHOU
;
Chao LU
Author Information
1. 浙江省人民医院（杭州医学院附属人民医院）普外科、胃肠胰外科 浙江省胃肠病学重点实验室，杭州 310014
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Laparoscopes;
Robot;
Left-sided portal hypertension;
Splenic circulation control
- From:
Chinese Journal of Surgery
2025;63(8):727-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of splenic circulation control technology in minimally invasive radical resection surgery for pancreatic neck/body cancer.Methods:This is a retrospective case series study. Retrospective analysis of clinical data of 12 patients who underwent laparoscopic or robotic radical resection for pancreatic neck/body cancer at the Department of Gastrointestinal and Pancreatic Surgery,Zhejiang Provincial People′s Hospital between January 2024 and January 2025. There were 7 males and 5 females,with mean age of 68 years (range: 52 to 79 years). Clinical data including preoperative,intra-operative and postoperative outcomes were analyzed. Postoperative follow-up was conducted via outpatient visits and telephone interviews,with the follow-up ending on April 1,2025.Results:All 12 patients underwent minimally invasive radical resection of pancreatic neck/body cancer using splenic circulation control technology,consisted of 3 laparoscopic and 9 robotic procedures. The mean operative time was 185 minutes (range: 140 to 315 minutes),and the average blood loss was 100 ml (range: 30 to 300 ml). Two cases involved combined organ resection.There was no conversion to open surgery. Postoperative complications were observed in 2 patients. One patient developed grade B pancreatic leakage,managed by ultrasound-guided puncture.The patient was discharged with drainage tube. The other patient experienced chylous leakage,recovered with conservative treatment. No delayed gastric emptying,hemorrhage or reoperations were observed. The median postoperative hospital stay was 13 days (range: 8 to 20 days).Conclusion:The splenic circulation control technique is simple and safe,and shows certain application prospects in minimally invasive radical resection of pancreatic neck and body cancer.
