Abstract
Purpose
For a long time, laparoscopic pancreatic surgery was simply a matter of extended diagnostics without a simultaneous resection.
Methods
The increase of experience in complex laparoscopic procedures combined with a substantial improvement in technical equipment has led to the possibility of performing pancreatic resections laparoscopically.
Results
In contrast to the experimental laparoscopic pancreaticoduodenectomy, laparoscopic distal pancreatectomy has proved its safety and efficacy.
Conclusion
In order to avoid splenectomy-associated complications, such as the OPSI-syndrome or formation of abscesses in the splenic area, the spleen-preserving technique is more favorable. Due to ischemia caused by the resection of the splenic vessels, as well as portal hypertension in the long-term follow-up, those vessels should remain untouched. The following article and video describe our approach for laparoscopic spleen-preserving distal pancreatectomy with sparing of the splenic vessels.
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References
Røsok BI, Marangos IP, Kazaryan AM, Rosseland AR, Buanes T, Mathisen O, Edwin B (2010) Single-centre experience of laparoscopic pancreatic surgery. Br J Surg 97(6):902–909
Fernandez-Cruz L, Blanco L, Cosa R et al (2008) Is laparoscopic resection adequate in patients with neuroendocrine pancreatic tumors? World J Surg 32:904–917
Pryor A, Means JR, Tn P (2007) Laparoscopic distal pancreatectomy with splenic preservation. Surg Endosc 21:2326–2330
Kleeff J, Diener MK, Z'graggen K et al (2007) Distale pancreatectomy: risk factors for surgical failure in 302 consecutive cases. Ann Surg 245:573–582
Kooby DA, Hawkins WG, Schmidt CM, Weber SM, Bentrem DJ, Gillespie TW, Sellers JB, Merchant NB, Scoggins CR, Martin RC 3rd, Kim HJ, Ahmad S, Cho CS, Parikh AA, Chu CK, Hamilton NA, Doyle CJ, Pinchot S, Hayman A, McClaine R, Nakeeb A, Staley CA, McMasters KM, Lillemoe KD (2010) A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? J Am Coll Surg 210(5):779–785, 786–787
Warshaw AL (1988) Conservation of the spleen with distal pancreatectomy. Arch Surg 123:550–553
Ito M, Horiguchi A, Asano Y, Yamamoto T, Tuda K, Morigaki S, Shimura M, Uyama I, Miyakawa S (2010) Spleen-preserving distal pancreatectomy performed laparoscopically. Hepatogastroenterology 57:162–164
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Schlöricke, E., Nolde, J., Hoffmann, M. et al. Laparoscopic spleen-preserving distal pancreatectomy. Langenbecks Arch Surg 396, 1119–1123 (2011). https://doi.org/10.1007/s00423-011-0755-1
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DOI: https://doi.org/10.1007/s00423-011-0755-1