Abstract
Background: Spleen-preserving distal pancreatectomy with Warshaw’s technique (WT) was reported to have higher spleen-related complication. The aim of this study was to evaluate the postoperative complication between the splenic vessel-conserving technique (SVC) and the WT when they were performed by the minimally invasive approach. Methods: From January 2006 to June 2015, data of the patients who had laparoscopic or robotic-assisted spleen-preserving distal pancreatectomy for benign or borderline malignant tumors were retrospectively reviewed. Patients were divided into SVC and the WT group for comparison. Results: Of the 89 patients who had the spleen-preserving distal pancreatectomy, 63 were SVC, whereas 26 were WT. The CT scans showed that patients who had WT were found to have higher rate of splenic infarction (P < 0.001) and had significantly higher rate of collateral vessel formation at 1 year (P < 0.001). All the splenic infarctions were low grade and asymptomatic which resolved spontaneously. None of the patients with collateral formation experienced gastrointestinal bleeding. The postoperative complication of SVC and WT did not differ significantly. Conclusion: SVC and WT were found to have comparable outcome. Both techniques can be used to achieve higher spleen-preserving rate.
| Original language | English |
|---|---|
| Pages (from-to) | 1464-1470 |
| Number of pages | 7 |
| Journal | Journal of Gastrointestinal Surgery |
| Volume | 20 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2016 Aug 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Gastroenterology
Cite this
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Minimally Invasive Approach for Spleen-Preserving Distal Pancreatectomy : a Comparative Analysis of Postoperative Complication Between Splenic Vessel Conserving and Warshaw’s Technique. / Lee, Lip Seng; Hwang, Ho Kyoung; Kang, ChangMoo; Lee, Woo Jung.
In: Journal of Gastrointestinal Surgery, Vol. 20, No. 8, 01.08.2016, p. 1464-1470.Research output: Contribution to journal › Article
TY - JOUR
T1 - Minimally Invasive Approach for Spleen-Preserving Distal Pancreatectomy
T2 - a Comparative Analysis of Postoperative Complication Between Splenic Vessel Conserving and Warshaw’s Technique
AU - Lee, Lip Seng
AU - Hwang, Ho Kyoung
AU - Kang, ChangMoo
AU - Lee, Woo Jung
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Background: Spleen-preserving distal pancreatectomy with Warshaw’s technique (WT) was reported to have higher spleen-related complication. The aim of this study was to evaluate the postoperative complication between the splenic vessel-conserving technique (SVC) and the WT when they were performed by the minimally invasive approach. Methods: From January 2006 to June 2015, data of the patients who had laparoscopic or robotic-assisted spleen-preserving distal pancreatectomy for benign or borderline malignant tumors were retrospectively reviewed. Patients were divided into SVC and the WT group for comparison. Results: Of the 89 patients who had the spleen-preserving distal pancreatectomy, 63 were SVC, whereas 26 were WT. The CT scans showed that patients who had WT were found to have higher rate of splenic infarction (P < 0.001) and had significantly higher rate of collateral vessel formation at 1 year (P < 0.001). All the splenic infarctions were low grade and asymptomatic which resolved spontaneously. None of the patients with collateral formation experienced gastrointestinal bleeding. The postoperative complication of SVC and WT did not differ significantly. Conclusion: SVC and WT were found to have comparable outcome. Both techniques can be used to achieve higher spleen-preserving rate.
AB - Background: Spleen-preserving distal pancreatectomy with Warshaw’s technique (WT) was reported to have higher spleen-related complication. The aim of this study was to evaluate the postoperative complication between the splenic vessel-conserving technique (SVC) and the WT when they were performed by the minimally invasive approach. Methods: From January 2006 to June 2015, data of the patients who had laparoscopic or robotic-assisted spleen-preserving distal pancreatectomy for benign or borderline malignant tumors were retrospectively reviewed. Patients were divided into SVC and the WT group for comparison. Results: Of the 89 patients who had the spleen-preserving distal pancreatectomy, 63 were SVC, whereas 26 were WT. The CT scans showed that patients who had WT were found to have higher rate of splenic infarction (P < 0.001) and had significantly higher rate of collateral vessel formation at 1 year (P < 0.001). All the splenic infarctions were low grade and asymptomatic which resolved spontaneously. None of the patients with collateral formation experienced gastrointestinal bleeding. The postoperative complication of SVC and WT did not differ significantly. Conclusion: SVC and WT were found to have comparable outcome. Both techniques can be used to achieve higher spleen-preserving rate.
UR - http://www.scopus.com/inward/record.url?scp=84963677233&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84963677233&partnerID=8YFLogxK
U2 - 10.1007/s11605-016-3141-z
DO - 10.1007/s11605-016-3141-z
M3 - Article
C2 - 27073079
AN - SCOPUS:84963677233
VL - 20
SP - 1464
EP - 1470
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 8
ER -