Splenic vascular flow control in the use of laparoscopic spleen-preserving distal pancreatectomy (Kimura)
10.3760/cma.j.cn113855-20220512-00316
- VernacularTitle:脾血管血流控制技术在腹腔镜下Kimura法保脾胰体尾切除术中的应用
- Author:
Xu SUN
1
;
Guoliang CAO
;
Zhiping PAN
;
Mingjie ZHANG
;
Feng CEN
;
Wenbin YUAN
;
Zhenhua SHEN
;
Shusen ZHENG
;
Qiang YAN
Author Information
1. 湖州市中心医院 浙江大学医学院附属湖州医院普通外科，湖州 313000
- Keywords:
Pancreatectomy;
Laparoscope;
Spleen preservation;
Vascular flow control
- From:
Chinese Journal of General Surgery
2022;37(10):755-760
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the techniques used in blood flow control of Kimura laparoscopic spleen-preserving pancreatectomy (LSPDP).Methods:Forty·five patients with benign or low-grade malignant pancreatic diseases undergoing LSPDP at Huzhou Central Hospital from May 2014 to Oct 2021 were analyzed retrospectively. Patients were divided into splenic vascular flow control group ( n=22) and routine management group ( n=23). Results:There was no significant difference in gender, age, BMI, accompanying symptoms, hypertension, diabetes, lesion size and pathological diagnosis between the two groups (all P>0.05). A higher overall spleen preservation rate (90.9% vs. 52.2%, χ2=8.213, P=0.004), lower incidence of morbidity with Clavien grade ≥ Ⅱ (22.7% vs. 73.9%, χ2=9.911, P=0.002) and shorter postoperative hospital stay [(9.6±4.5) d vs. (14.3±6.6) d, t=2.447, P=0.008] were achieved in the vascular flow control group compared with those in the routine group. Conclusion:Splenic vascular flow control techniques improve the success rate of spleen preservation in laparoscopic distal pancreatectomy, reduce the postoperative complications and shorten the postoperative hospital stay.
