Surgical Endoscopy And Other Interventional Techniques

, Volume 19, Issue 10, pp 1367–1369

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign Pancreas neoplasm

Authors

  • H.-S. Han
    • Department of SurgeryCollege of Medicine, Seoul National University
    • Medical Research Center and Department of SurgeryCollege of Medicine, Ewha Womans University
  • H. K. Lee
    • Medical Research Center and Department of SurgeryCollege of Medicine, Ewha Womans University
  • S.-Whe Kim
    • Department of SurgeryCollege of Medicine, Seoul National University
  • Y.-H. Park
    • Department of SurgeryCollege of Medicine, Seoul National University
Original article

DOI: 10.1007/s00464-004-8158-9

Cite this article as:
Han, H., Min, S.K., Lee, H.K. et al. Surg Endosc (2005) 19: 1367. doi:10.1007/s00464-004-8158-9

Abstract

Background

Laparoscopic distal pancreatectomy to conserve the spleen is a beneficial operation for patients with benign and borderline malignancy in the pancreas. With this procedure, it is very desirable to preserve the splenic artery and vein as well.

Methods

From May 2000 to July 2003, five laparoscopic distal pancreatectomies with preservation of the spleen and splenic vessels were performed for benign pancreas neoplasm at Ewha Womans University Mokdong Hospital in Seoul, Korea.

Results

The postoperative pathologic diagnoses were two serous cystadenomas, two mucinous cystadenomas, and one solid and papillary epithelial tumor. The tumors ranged in size from 1.5 to 7cm. Four trocars (10–15 mm) and a laparoscopic linear stapler were used for transection of the pancreas. The mean operation time was 348 min, and the mean length of the incision for extraction was 3.6 cm. The mean postoperative hospital stay was 10.4 days. There was no complication or mortality.

Conclusion

Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels is a relatively safe and feasible option for the management of benign tumor or borderline malignancy in the distal pancreas.

Keywords

Laparoscopy Distal pancreatectomy Spleen preserving Splenic vessels

Copyright information

© Springer Science+Business Media, Inc. 2005