Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels

Ho Kyoung Hwang, Young Eun Chung, Kyoung Ah Kim, Chang Moo Kang, Woo Jung Lee

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleenpreserving distal pancreatectomy (SPDP) with conservation of both splenic vessels. Methods We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity. Results Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete followup data were included in this study. During the follow- up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2%) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8%) had patent conserved splenic vein. Four patients (13.8%) eventually developed collateral venous vessels around gastric fundus and reserved spleen, but no spleen infarction was found, and none presented clinical relevant symptoms, such as variceal bleeding. There was no statistical difference in vascular patency between the laparoscopic and robotic groups (P>0.05). Conclusions Most patients showed intact vascular patency in conserved splenic vessels and no secondary changes in the preserved spleen after laparoscopic splenic vessel-conserving SPDP.

Original languageEnglish
Pages (from-to)1765-1771
Number of pages7
JournalSurgical endoscopy
Volume26
Issue number6
DOIs
Publication statusPublished - 2012 Jun

Fingerprint

Vascular Patency
Pancreatectomy
Spleen
Splenic Vein
Robotics
Gastric Fundus
Infarction
Tomography
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Hwang, Ho Kyoung ; Chung, Young Eun ; Kim, Kyoung Ah ; Kang, Chang Moo ; Lee, Woo Jung. / Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels. In: Surgical endoscopy. 2012 ; Vol. 26, No. 6. pp. 1765-1771.
@article{b9213bfd4192401e83786112b472d4b3,
title = "Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels",
abstract = "Background We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleenpreserving distal pancreatectomy (SPDP) with conservation of both splenic vessels. Methods We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity. Results Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete followup data were included in this study. During the follow- up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2{\%}) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8{\%}) had patent conserved splenic vein. Four patients (13.8{\%}) eventually developed collateral venous vessels around gastric fundus and reserved spleen, but no spleen infarction was found, and none presented clinical relevant symptoms, such as variceal bleeding. There was no statistical difference in vascular patency between the laparoscopic and robotic groups (P>0.05). Conclusions Most patients showed intact vascular patency in conserved splenic vessels and no secondary changes in the preserved spleen after laparoscopic splenic vessel-conserving SPDP.",
author = "Hwang, {Ho Kyoung} and Chung, {Young Eun} and Kim, {Kyoung Ah} and Kang, {Chang Moo} and Lee, {Woo Jung}",
year = "2012",
month = "6",
doi = "10.1007/s00464-011-2108-0",
language = "English",
volume = "26",
pages = "1765--1771",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "6",

}

Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels. / Hwang, Ho Kyoung; Chung, Young Eun; Kim, Kyoung Ah; Kang, Chang Moo; Lee, Woo Jung.

In: Surgical endoscopy, Vol. 26, No. 6, 06.2012, p. 1765-1771.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels

AU - Hwang, Ho Kyoung

AU - Chung, Young Eun

AU - Kim, Kyoung Ah

AU - Kang, Chang Moo

AU - Lee, Woo Jung

PY - 2012/6

Y1 - 2012/6

N2 - Background We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleenpreserving distal pancreatectomy (SPDP) with conservation of both splenic vessels. Methods We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity. Results Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete followup data were included in this study. During the follow- up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2%) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8%) had patent conserved splenic vein. Four patients (13.8%) eventually developed collateral venous vessels around gastric fundus and reserved spleen, but no spleen infarction was found, and none presented clinical relevant symptoms, such as variceal bleeding. There was no statistical difference in vascular patency between the laparoscopic and robotic groups (P>0.05). Conclusions Most patients showed intact vascular patency in conserved splenic vessels and no secondary changes in the preserved spleen after laparoscopic splenic vessel-conserving SPDP.

AB - Background We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleenpreserving distal pancreatectomy (SPDP) with conservation of both splenic vessels. Methods We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity. Results Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete followup data were included in this study. During the follow- up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2%) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8%) had patent conserved splenic vein. Four patients (13.8%) eventually developed collateral venous vessels around gastric fundus and reserved spleen, but no spleen infarction was found, and none presented clinical relevant symptoms, such as variceal bleeding. There was no statistical difference in vascular patency between the laparoscopic and robotic groups (P>0.05). Conclusions Most patients showed intact vascular patency in conserved splenic vessels and no secondary changes in the preserved spleen after laparoscopic splenic vessel-conserving SPDP.

UR - http://www.scopus.com/inward/record.url?scp=84863985140&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863985140&partnerID=8YFLogxK

U2 - 10.1007/s00464-011-2108-0

DO - 10.1007/s00464-011-2108-0

M3 - Article

C2 - 22223114

AN - SCOPUS:84863985140

VL - 26

SP - 1765

EP - 1771

JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 6

ER -