Splenic vessel patency: is it real menace to perform laparoscopic splenic vessel-preserving distal pancreatectomy
Annals of Surgical Treatment and Research
; : 101-106, 2019.
Article
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| WPRIM
| ID: wpr-739577
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pancreatectomía
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Bazo
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Arteria Esplénica
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Vena Esplénica
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Heridas y Lesiones
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Grado de Desobstrucción Vascular
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Estudios Retrospectivos
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Estudios de Seguimiento
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Laparoscopía
/
Constricción Patológica
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Annals of Surgical Treatment and Research
Año:
2019
Tipo del documento:
Article