Cited 13 times in
Laparoscopic distal pancreatectomy with division of the pancreatic neck for benign and borderline malignant tumor in the proximal body of the pancreas
DC Field | Value | Language |
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dc.contributor.author | 이우정 | - |
dc.contributor.author | 최성훈 | - |
dc.contributor.author | 황호경 | - |
dc.contributor.author | 강창무 | - |
dc.date.accessioned | 2015-04-23T17:00:54Z | - |
dc.date.available | 2015-04-23T17:00:54Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 1092-6429 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101661 | - |
dc.description.abstract | BACKGROUND: Conventional laparoscopic distal pancreatectomy (DP) is now regarded as a safe, effective treatment modality; however, pancreatic transections are mostly believed to be somewhere between the body and tail of the pancreas. Laparoscopic DP, with its division at the pancreatic neck (subtotal pancreatectomy [STP]), is more challenging because there are major vascular structures, such as the celiac axis, coronary vein, and superior mesenteric vein-splenic vein-portal vein (SMV-SV-PV) confluence around the pancreatic neck portion to be dissected. PATIENTS AND METHODS: Ten patients underwent laparoscopic STP with pancreatic division at the level of SMV-SV-PV confluence for benign and borderline pancreatic disease. RESULTS: Three patients were male and 7 were female, with a median age of 60 years (range, 28-73). All patients had benign or borderline malignant tumors in the body near the neck of the pancreas, with a median tumor size of 3 cm (range, 1-9.2). The operation time was a median of 287.5 minutes (range, 160-480). The intraopeative bleeding was a median of 300 mL (range, 100-700). Spleen preservation was carried out in 8 patients. Compared with open DP with the division of the pancreatic neck, a more frequent rate of spleen preservation (P = 0.004), longer operation time (P = 0.006), and early postoperative recovery presented by early intake of a soft diet (P = 0.001) and earlier discharge (P = 0.03) were significantly more frequent in the laparoscopic STP group. In a comparative study with laparoscopic DP, the longer segment of resected pancreas (P < 0.001), smaller amount of blood loss (P = 0.019), and high rate of spleen preservation (P = 0.019) were also noted in the laparoscopic STP group. CONCLUSIONS: Laparoscopic DP with division of the pancreatic neck is considered feasible and safe. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pancreas/surgery | - |
dc.subject.MESH | Pancreatectomy/methods* | - |
dc.subject.MESH | Pancreatic Diseases/surgery* | - |
dc.subject.MESH | Pancreatic Neoplasms/surgery | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Young Adult | - |
dc.title | Laparoscopic distal pancreatectomy with division of the pancreatic neck for benign and borderline malignant tumor in the proximal body of the pancreas | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Chang Moo Kang | - |
dc.contributor.googleauthor | Sung Hoon Choi | - |
dc.contributor.googleauthor | Ho Kyoung Hwang | - |
dc.contributor.googleauthor | Dong Hyun Kim | - |
dc.contributor.googleauthor | Chang Ik Yoon | - |
dc.contributor.googleauthor | Woo Jung Lee | - |
dc.identifier.doi | 10.1089/lap.2009.0348 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04085 | - |
dc.contributor.localId | A02993 | - |
dc.contributor.localId | A04497 | - |
dc.contributor.localId | A00088 | - |
dc.contributor.localId | A00415 | - |
dc.relation.journalcode | J01556 | - |
dc.identifier.eissn | 1557-9034 | - |
dc.identifier.pmid | 20629517 | - |
dc.identifier.url | http://online.liebertpub.com/doi/abs/10.1089/lap.2009.0348 | - |
dc.contributor.alternativeName | Lee, Woo Jung | - |
dc.contributor.alternativeName | Choi, Sung Hoon | - |
dc.contributor.alternativeName | Hwang, Ho Kyoung | - |
dc.contributor.alternativeName | Kang, Chang Moo | - |
dc.contributor.affiliatedAuthor | Choi, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Lee, Woo Jung | - |
dc.contributor.affiliatedAuthor | Hwang, Ho Kyoung | - |
dc.contributor.affiliatedAuthor | Kang, Chang Moo | - |
dc.citation.volume | 20 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 581 | - |
dc.citation.endPage | 586 | - |
dc.identifier.bibliographicCitation | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.20(7) : 581-586, 2010 | - |
dc.identifier.rimsid | 40147 | - |
dc.type.rims | ART | - |
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