Document Detail


Laparoscopy-assisted spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein.
MedLine Citation:
PMID:  15619015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Herein, we report the successful performance of a laparoscopy-assisted spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein for a patient with pancreatic cystadenoma, as a minimally invasive procedure with the preservation of function. The laparoscopy-assisted distal pancreatectomy procedure involved detaching the spleen and the distal pancreas from the retroperitoneum by a hand-assisted procedure, removing them from the peritoneal cavity through a small incision, and detaching the distal pancreas by ligating and transecting the short gastric artery and vein and the branches of the splenic artery and vein, while the spleen and main splenic artery and vein were preserved under direct view. The pancreatic parenchyma was transected with a stapling device (TL-30), and continuous suturing was added to the resected margin. The patient's postoperative course was uneventful; the patient started to eat and walk on postoperative day 2 and was discharged on day 8. It is considered that the combination of hand-assisted and laparoscopy-assisted distal pancreatectomy, with conservation of the splenic artery and vein, is a minimally invasive and clinically useful technique for treating tumors of cystic disease of the pancreas with low-grade malignant potential, or benign solitary neuroendocrine tumors.
Authors:
Hironori Kaneko; Sumito Takagi; Naoki Joubara; Kunihiro Yamazaki; Yoshihisa Kubota; Masaru Tsuchiya; Yuichiro Otsuka; Tadaaki Shiba
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  11     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2004  
Date Detail:
Created Date:  2004-12-24     Completed Date:  2005-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  397-401     Citation Subset:  IM    
Affiliation:
Department of Surgery, Omori Hospital, Toho University School of Medicine, 6-11-1 Omorinishi, Ota-ku, Tokyo 143-0015, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cystadenoma / surgery*
Female
Humans
Laparoscopy
Pancreatectomy / methods*
Pancreatic Neoplasms / surgery*
Spleen / surgery
Splenic Artery / surgery
Splenic Vein / surgery
Surgical Procedures, Minimally Invasive
Surgical Stapling

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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