Splenic vein thrombosis and pancreatic fistula after minimally invasive distal pancreatectomy

C. M. Kang, Y. E. Chung, M. J. Jung, H. K. Hwang, S. H. Choi, W. J. Lee

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background This study aimed to investigate the clinical relevance of splenic vein thrombosis (SVT) in the splenic vein remnant following minimally invasive distal pancreatosplenectomy (DPS). Methods Medical records of patients who underwent laparoscopic or robotic distal pancreatectomy (DP) with or without splenectomy between January 2006 and August 2012 were reviewed. Rates of SVT and clinically relevant postoperative pancreatic fistula (POPF) were compared in a group of patients undergoing DPS and a group having spleen-preserving DP. Results Seventy-nine patients had minimally invasive DP, of whom 38 (48 per cent) developed SVT in the splenic vein remnant. DPS was associated with POPF (P = 0·001) and SVT (P < 0·001). SVT length was closely related to the amount of peripancreatic fluid collection (P = 0·025) and POPF (P = 0·045). In a comparison of splenic vessel-sacrificing, spleen-preserving DP and DPS, postoperative platelet count was significantly higher in the DPS group (P < 0·001). In addition, grade of SVT (P = 0·092) and POPF (P = 0·065) tended to be associated with DPS, suggesting that SVT may be related to both splenectomy and POPF. Conclusion Minimally invasive DPS is associated with SVT and POPF. Preservation of the spleen should be considered when treating patients with benign and borderline malignant tumours of the distal pancreas. Preserve spleen if possible

Original languageEnglish
Pages (from-to)114-119
Number of pages6
JournalBritish Journal of Surgery
Volume101
Issue number2
DOIs
Publication statusPublished - 2014 Jan 1

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Splenic Vein
Pancreatic Fistula
Pancreatectomy
Thrombosis
Spleen
Splenectomy
Robotics
Platelet Count
Medical Records
Pancreas

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kang, C. M. ; Chung, Y. E. ; Jung, M. J. ; Hwang, H. K. ; Choi, S. H. ; Lee, W. J. / Splenic vein thrombosis and pancreatic fistula after minimally invasive distal pancreatectomy. In: British Journal of Surgery. 2014 ; Vol. 101, No. 2. pp. 114-119.
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abstract = "Background This study aimed to investigate the clinical relevance of splenic vein thrombosis (SVT) in the splenic vein remnant following minimally invasive distal pancreatosplenectomy (DPS). Methods Medical records of patients who underwent laparoscopic or robotic distal pancreatectomy (DP) with or without splenectomy between January 2006 and August 2012 were reviewed. Rates of SVT and clinically relevant postoperative pancreatic fistula (POPF) were compared in a group of patients undergoing DPS and a group having spleen-preserving DP. Results Seventy-nine patients had minimally invasive DP, of whom 38 (48 per cent) developed SVT in the splenic vein remnant. DPS was associated with POPF (P = 0·001) and SVT (P < 0·001). SVT length was closely related to the amount of peripancreatic fluid collection (P = 0·025) and POPF (P = 0·045). In a comparison of splenic vessel-sacrificing, spleen-preserving DP and DPS, postoperative platelet count was significantly higher in the DPS group (P < 0·001). In addition, grade of SVT (P = 0·092) and POPF (P = 0·065) tended to be associated with DPS, suggesting that SVT may be related to both splenectomy and POPF. Conclusion Minimally invasive DPS is associated with SVT and POPF. Preservation of the spleen should be considered when treating patients with benign and borderline malignant tumours of the distal pancreas. Preserve spleen if possible",
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Splenic vein thrombosis and pancreatic fistula after minimally invasive distal pancreatectomy. / Kang, C. M.; Chung, Y. E.; Jung, M. J.; Hwang, H. K.; Choi, S. H.; Lee, W. J.

In: British Journal of Surgery, Vol. 101, No. 2, 01.01.2014, p. 114-119.

Research output: Contribution to journalArticle

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N2 - Background This study aimed to investigate the clinical relevance of splenic vein thrombosis (SVT) in the splenic vein remnant following minimally invasive distal pancreatosplenectomy (DPS). Methods Medical records of patients who underwent laparoscopic or robotic distal pancreatectomy (DP) with or without splenectomy between January 2006 and August 2012 were reviewed. Rates of SVT and clinically relevant postoperative pancreatic fistula (POPF) were compared in a group of patients undergoing DPS and a group having spleen-preserving DP. Results Seventy-nine patients had minimally invasive DP, of whom 38 (48 per cent) developed SVT in the splenic vein remnant. DPS was associated with POPF (P = 0·001) and SVT (P < 0·001). SVT length was closely related to the amount of peripancreatic fluid collection (P = 0·025) and POPF (P = 0·045). In a comparison of splenic vessel-sacrificing, spleen-preserving DP and DPS, postoperative platelet count was significantly higher in the DPS group (P < 0·001). In addition, grade of SVT (P = 0·092) and POPF (P = 0·065) tended to be associated with DPS, suggesting that SVT may be related to both splenectomy and POPF. Conclusion Minimally invasive DPS is associated with SVT and POPF. Preservation of the spleen should be considered when treating patients with benign and borderline malignant tumours of the distal pancreas. Preserve spleen if possible

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