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Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It

  • How I Do It
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Objectives

Although the technique of distal pancreatectomy with or without en bloc splenectomy has been well described, the execution of this procedure may be technically challenging when performed laparoscopically. In this technical report, we aimed to describe the technique of laparoscopic distal pancreatectomy with or without splenic preservation.

Discussion

Laparoscopic distal pancreatectomy with or without splenectomy is a safe and effective surgical approach for the correction of various conditions. It has been proven to be a feasible solution for the treatment of benign inflammatory conditions as well as neoplasms. Splenic preservation requires careful and meticulous dissection, but may be done safely.

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References

  1. Gagner M. Pioneers in laparoscopic solid organ surgery. Surg Endosc 2003;17:1853–1854; author reply 1855

    Article  PubMed  CAS  Google Scholar 

  2. Borja-Cacho D, Al-Refaie WB, Vickers SM, et al. Laparoscopic distal pancreatectomy. J Am Coll Surg 2009;209:758–765; quiz 800

    Article  PubMed  Google Scholar 

  3. Giger U, Michel JM, Wiesli P, et al. Laparoscopic surgery for benign lesions of the pancreas. J Laparoendosc Adv Surg Tech A 2006;16:452–457

    Article  PubMed  Google Scholar 

  4. Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988;123:550–553

    PubMed  CAS  Google Scholar 

  5. Baker MS, Bentrem DJ, Ujiki MB, et al. A prospective single institution comparison of peri-operative outcomes for laparoscopic and open distal pancreatectomy. Surgery 2009;146:635–643; discussion 643–635

    Article  PubMed  Google Scholar 

  6. Knaebel HP, Diener MK, Wente MN, et al. Systematic review and meta-analysis of technique for closure of the pancreatic remnant after distal pancreatectomy. Br J Surg 2005;92:539–546

    Article  PubMed  CAS  Google Scholar 

  7. Kooby DA, Gillespie T, Bentrem D, et al. Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 2008;248:438–446

    PubMed  Google Scholar 

  8. Finan KR, Cannon EE, Kim EJ, et al. Laparoscopic and open distal pancreatectomy: a comparison of outcomes. Am Surg 2009;75:671–679; discussion 679–680

    PubMed  Google Scholar 

  9. Lillemoe KD, Kaushal S, Cameron JL, et al. Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg 1999;229:693–698; discussion 698–700

    Article  PubMed  CAS  Google Scholar 

  10. Harris LJ, Abdollahi H, Newhook T, et al. Optimal Technical Management of Stump Closure Following Distal Pancreatectomy: A Retrospective Review of 215 Cases. J Gastrointest Surg 2010;14(6):998–1005

    Article  PubMed  Google Scholar 

  11. Briggs CD, Mann CD, Irving GR, et al. Systematic review of minimally invasive pancreatic resection. J Gastrointest Surg 2009;13:1129–1137

    Article  PubMed  Google Scholar 

  12. Warner EA, Ben-David K, Cendan JC, et al. Laparoscopic pancreatic surgery: what now and what next? Curr Gastroenterol Rep 2009;11:128–133

    Article  PubMed  Google Scholar 

  13. Jimenez RE, Mavanur A, Macaulay WP. Staple line reinforcement reduces postoperative pancreatic stump leak after distal pancreatectomy. J Gastrointest Surg 2007;11:345–349

    Article  PubMed  Google Scholar 

  14. Thaker RI, Matthews BD, Linehan DC, et al. Absorbable mesh reinforcement of a stapled pancreatic transection line reduces the leak rate with distal pancreatectomy. J Gastrointest Surg 2007;11:59–65

    Article  PubMed  Google Scholar 

  15. Fingerhut A, Veyrie N, Ata T, et al. Use of sealants in pancreatic surgery: critical appraisal of the literature. Dig Surg 2009;26:7–14

    Article  PubMed  Google Scholar 

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Correspondence to Piero Marco Fisichella.

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Fisichella, P.M., Shankaran, V. & Shoup, M. Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It. J Gastrointest Surg 15, 215–218 (2011). https://doi.org/10.1007/s11605-010-1313-9

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  • DOI: https://doi.org/10.1007/s11605-010-1313-9

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