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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (04): 332-335. doi: 10.3877/cma.j.issn.1674-3946.2019.04.003

Special Issue:

• Commentary • Previous Articles     Next Articles

Strategies and Technical Aspects of Laparoscopic Splenic-preserving Distal Pancreatectomy

Yinmo Yang1,(), Hongqiao Gao1, Yan Zhuang1, Xiaodong Tian1, Yongsu Ma1   

  1. 1. Department of General Surgery, the First Hospital of Peking University, Beijing 100031, China
  • Received:2019-01-29 Online:2019-08-26 Published:2019-08-26
  • Contact: Yinmo Yang
  • About author:
    Corresponding author: Yang Yinmo, Email:
  • Supported by:
    National Natural Science Fundation of China(81672353, 81172184 and 30972879)

Abstract:

For the potential long- and short-term complications associated with splenectomy, laparoscopic spleen-preserving distal pancreatectomy(Lap SPDP) is a feasible and comparably safe approach for the surgical treatment of benign or low-grade malignant tumors in the body and tail of the pancreas. Lap SPDP could be accomplished by using either the Kimura’s or the Warshaw technique, In Kimura’s technique, the integrity of both the splenic artery and vein are preserved, while in the Warshaw’s technique, main trunk of splenic artery and vein are ligated and dissected with preservation of left gastroepiploic artery. Laparoscopic Kimura’s procedure coulf be performed safely by experienced surgeon, with low incidence of splenic necrosis or abscess formation. However, in case of close adhesion of tumour with vessels or splenic hilar, combined splenectomy should be performed in time.

Key words: Laparoscopy, Spleen-sparing pancreatic body-tail resection, Splenectomy

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