scholarly journals How to divide the pancreatic parenchyma in patients with a portal annular pancreas: laparoscopic spleen-preserving distal pancreatectomy for serous cystic neoplasms

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Naohisa Kuriyama ◽  
Tomohide Hatanaka ◽  
Kazuaki Gyoten ◽  
Aoi Hayasaki ◽  
Takehiro Fujii ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Annular Pancreas ◽  
Cystic Neoplasms ◽  
Pancreatic Parenchyma ◽  
Spleen Preserving ◽  
Portal Annular Pancreas ◽  
Serous Cystic Neoplasms

scholarly journals Laparoscopic spleen preserving distal pancreatectomy with intra-operative assessment and frozen section may prevent unnecessary splenectomy

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S933-S934
Author(s):  
L. Tanno ◽  
N. Siddiqi ◽  
S. Barbaro ◽  
M. Fontana ◽  
A. Jayyusi ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Frozen Section ◽  
Spleen Preserving ◽  
Operative Assessment

scholarly journals Rare Case of an Epithelial Cyst in an Intrapancreatic Accessory Spleen Treated by Robot-Assisted Spleen Preserving Distal Pancreatectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Willemijn P. M. van Dijck ◽  
Vincent P. Groot ◽  
Lodewijk A. A. Brosens ◽  
Jeroen Hagendoorn ◽  
Inne H. M. Borel Rinkes ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Accessory Spleen ◽  
Magnetic Resonance Images ◽  
Epithelial Cyst ◽  
Robot Assisted ◽  
Diagnostic Features ◽  
Intrapancreatic Accessory Spleen ◽  
Spleen Preserving ◽  
Technetium 99M ◽  
Radiological Features

Epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is exceedingly rare with only 57 cases reported since the first publication in 1980. Comprehensive clinical and diagnostic features remain to be clarified. We present a case of ECIPAS in a 21-year-old Philippine woman who was admitted with right upper quadrant abdominal pain. A cystic lesion in the pancreatic tail was discovered and evaluated by computed tomography and magnetic resonance images. Based on clinical and radiological features a solid pseudopapillary neoplasm was suspected. The patient underwent robot-assisted spleen preserving distal pancreatectomy. Pathological evaluation revealed a 26 mm intrapancreatic accessory spleen with a 16 mm cyst, lined by multilayered epithelium in the tail of the pancreas. The postoperative course was uneventful. Differentiating ECIPAS from (pre)malignant cystic pancreatic neoplasms based on clinical and radiological features remains difficult. When typical radiological signs can be combined with scintigraphy using Technetium-99m labelled colloid or Technetium-99m labelled erythrocytes, which can identify the solid component of the lesion as splenic tissue, it should be possible to make the right diagnosis noninvasively. When pancreatectomy is inevitable due to symptoms or patient preference, minimally invasive laparoscopic or robot-assisted spleen preserving distal pancreatectomy should be considered.

scholarly journals Laparoscopic Spleen-Preserving Distal Pancreatectomy (LSPDP) with Preservation of Splenic Vessels: An Inferior-Posterior Approach

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Yong Fei Hua ◽  
Dipesh Kumar Yadav ◽  
Xueli Bai ◽  
Tingbo Liang
Keyword(s):  
Blood Loss ◽  
Distal Pancreatectomy ◽  
Splenic Artery ◽  
Posterior Approach ◽  
Operative Time ◽  
The Other ◽  
Intraoperative Blood Loss ◽  
Spleen Preserving ◽  
Splenic Vessels ◽  
Approach Group

Objective. To summarize the operation experience of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with preservation of splenic vessels by an inferior-posterior dissection of the pancreatic body and evaluate its feasibility. Methods. Patients undergoing LSPDS at Ningbo Li Huili Hospital and Ningbo Li Huili Eastern Hospital from January 2014 to April 2017 were recruited in this study and were analyzed retrospectively. They were divided into two groups based on the surgical approach: the inferior-posterior approach group and the other approach group. We sought to compare outcomes of the two groups. Results. The LSPDP procedure was completed successfully in 49 cases, and 48 patients had their splenic artery and vein preserved, including 26 cases in the inferior-posterior approach group and 22 cases in the other approach group. There were no significant differences between the two groups with respect to age (p=0.18), sex (p=0.56), preoperative diabetes (p=1.00), ASA grading (p=1.00), tumor size (p=0.91), intraoperative blood loss (t=−0.01, p=0.99), hospital stay (t=−0.02, p=0.98), and pancreatic fistula rates (p=1.00). Patients undergoing LSPDP by the inferior-posterior approach had a shorter operative time (t=−4.13, p<0.001) than the other approach group. Conclusions. LSPDS by the inferior-posterior approach associated with shorter operative time is safe and feasible.

Laparoscopic Spleen-Preserving Distal Pancreatectomy as Treatment for Nesidioblastosis after Gastric Bypass Surgery

2007 ◽  
Vol 17 (4) ◽  
pp. 550-552 ◽  
Author(s):  
Glauco C. Alvarez ◽  
Everton N. Faria ◽  
Maristela Beck ◽  
Dener T. Girardon ◽  
Ana Cristina Machado
Keyword(s):  
Gastric Bypass ◽  
Distal Pancreatectomy ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Spleen Preserving

scholarly journals Laparoscopic spleen-preserving distal pancreatectomy with splenic vessels preservation for pNET in a young patient

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S1018
Author(s):  
R. De Luca ◽  
G. Barile ◽  
C. Cartanese ◽  
E. Grasso ◽  
R. Lomonaco ◽  
...  
Keyword(s):  
Young Patient ◽  
Distal Pancreatectomy ◽  
Spleen Preserving ◽  
Splenic Vessels ◽  
Splenic Vessels Preservation

scholarly journals Pure Laparoscopic Spleen-Preserving Distal Pancreatectomy for Pancreatic Tumor

2013 ◽  
Vol 63 (4) ◽  
pp. 339-343
Author(s):  
Izumi Takeyoshi ◽  
Yutaka Sunose ◽  
Keitaro Hirai ◽  
Daisuke Yoshinari ◽  
Hiroomi Ogawa ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Pancreatic Tumor ◽  
Spleen Preserving
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