| Is there a role of preservation of the spleen in distal pancreatectomy? | |
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MedLine Citation:
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PMID: 10065814 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The spleen may be preserved during distal pancreatectomy (DP) for benign disease. The aim of this retrospective study was to compare the postoperative course of DP with or without splenectomy. STUDY DESIGN: From June 1992 to June 1997, 40 adult patients without chronic pancreatitis underwent elective DP for benign lesions. Fifteen underwent spleen-preserving DP (Conservative Group) and 25 DP with splenectomy (Splenectomy Group). In spleen-preserving DP, we attempted to preserve the splenic artery and vein. RESULTS: Spleen-preserving DP was successfully performed in all 15 cases. Patient groups were comparable for clinical features, indication for DP, and surgical procedure. There were no postoperative deaths. The overall incidence of pancreatic fistula was 23%, but was significantly higher in the Conservative Group (40%) than in the Splenectomy Group (12%; p < 0.05). Subphrenic abscesses were more frequently observed in the Conservative Group than in the Splenectomy Group (p < 0.05). The mean duration of postoperative hospital stay was 19 days (range 6 to 46 days) in the Conservative Group and 12.5 days (range 7 to 45 days) in the Splenectomy Group (p < 0.05). At the end of mean followup of 30 months (range 8 to 40 months), no severe postsplenectomy sepsis was observed in the Splenectomy Group. CONCLUSIONS: In our experience, DP with splenectomy has a lower morbidity rate and we consider it to be the best procedure for benign pancreatic disease. |
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Authors:
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S Benoist; L Dugué; A Sauvanet; A Valverde; F Mauvais; F Paye; O Farges; J Belghiti |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of the American College of Surgeons Volume: 188 ISSN: 1072-7515 ISO Abbreviation: J. Am. Coll. Surg. Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-03-11 Completed Date: 1999-03-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9431305 Medline TA: J Am Coll Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 255-60 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Beaujon Hospital, Clichy, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Humans Male Middle Aged Pancreatectomy / adverse effects, methods* Pancreatic Diseases / surgery* Retrospective Studies Spleen / surgery* Splenectomy* / adverse effects Treatment Outcome |
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