Abstract:
Objective To study the feasibility and safety of laparoscopic distal pancreatectomy with preservation of the spleen.
Methods 83 patients with local lesions in distal pancrea treated with laparoscopic distal pancreatectomy in our hospital from May 2014 to April 2019 were selected. According to the operation method, 35 patients with laparoscopic spleen-preserving distal pancreatic resection were LSPDP group and 48 patients with laparoscopic distal pancreatic combined splenectomy were LDPS group. The data were analyzed by SPSS24.0 statistical software, Among them, the rate of complications and other counting data were expressed by n(%), and compared with χ2, Measurement data such as operation time, intraoperative bleeding volume were expressed in (±s), and compared with independent sample t test. P<0.05 indicated the difference was statistically significant.
Results The first exhaust time of LSPDP group was better than that of LDPS group (P< 0.05). There was no significant difference in other surgical related indicators, postoperative recovery and complications between the two groups (P>0.05). The patients in both groups were followed up for 3 to 65 months. No recurrence or metastasis of tumors or death was found in 80 patients who were followed up successfully.
Conclusion Laparoscopic distal pancreatectomy with preservation of the spleen is as safe and feasible as laparoscopic pancreas body and tail combined with spleen resection, and it has the advantage of saving spleen function.
Key words:
Local lesions of the tail of the pancreas,
Laparoscopes,
Pancreatectomy,
Safety,
Feasibility studies
Qing Li, Huaping Hou. Feasibility study of laparoscopic distal pancreatectomy with preservation of the spleen in patients with local lesions in distal pancreas[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(02): 197-200.