| Distal pancreatectomy without splenectomy and with preservation of splenic vessels. | |
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MedLine Citation:
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PMID: 11100372 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: Conventional distal pancreatic resection routinely involves splenectomy. The awareness that spleen removal may lead to postoperative septic and hematological complications motivated the development of spleen-preserving procedures. Successful distal pancreatectomy with splenic conservation has been reported for treatment of benign pancreatic diseases of the distal pancreas. This report presents the results of spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. METHODOLOGY: Ten patients underwent distal pancreatectomy with splenic vessel preservation. In all cases, both splenic vessels were separated from the pancreas towards the spleen after transecting the body of the pancreas. RESULTS: The indications for the procedure were: neuroendocrine pancreatic tumors (n = 4), cystic neoplasm of the pancreas (n = 4) and cystic-papillary pancreatic tumors (n = 2). Four patients developed pancreatic fistulas with spontaneous healing and there was no mortality. CONCLUSIONS: Spleen-preserving distal pancreatectomy with splenic vessel conservation can be safely performed and should be indicated in the surgical management of benign pancreatic diseases of the distal pancreas. |
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Authors:
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J E da Cunha; M C Machado; S Penteado; T Bacchella; J Jukemura |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 47 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2000 Sep-Oct |
Date Detail:
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Created Date: 2001-03-29 Completed Date: 2001-05-31 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: GREECE |
Other Details:
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Languages: eng Pagination: 1444-6 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, São Paulo University Medical School, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Female Humans Male Middle Aged Pancreatectomy / methods* Splenic Artery Splenic Vein |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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