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Minimally Invasive Approach for Spleen-Preserving Distal Pancreatectomy: a Comparative Analysis of Postoperative Complication Between Splenic Vessel Conserving and Warshaw's Technique

DC Field Value Language
dc.contributor.author이우정-
dc.contributor.author황호경-
dc.contributor.author강창무-
dc.date.accessioned2017-10-26T07:08:49Z-
dc.date.available2017-10-26T07:08:49Z-
dc.date.issued2016-
dc.identifier.issn1091-255X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151661-
dc.description.abstractBACKGROUND: Spleen-preserving distal pancreatectomy with Warshaw's technique (WT) was reported to have higher spleen-related complication. The aim of this study was to evaluate the postoperative complication between the splenic vessel-conserving technique (SVC) and the WT when they were performed by the minimally invasive approach. METHODS: From January 2006 to June 2015, data of the patients who had laparoscopic or robotic-assisted spleen-preserving distal pancreatectomy for benign or borderline malignant tumors were retrospectively reviewed. Patients were divided into SVC and the WT group for comparison. RESULTS: Of the 89 patients who had the spleen-preserving distal pancreatectomy, 63 were SVC, whereas 26 were WT. The CT scans showed that patients who had WT were found to have higher rate of splenic infarction (P?<?0.001) and had significantly higher rate of collateral vessel formation at 1 year (P?<?0.001). All the splenic infarctions were low grade and asymptomatic which resolved spontaneously. None of the patients with collateral formation experienced gastrointestinal bleeding. The postoperative complication of SVC and WT did not differ significantly. CONCLUSION: SVC and WT were found to have comparable outcome. Both techniques can be used to achieve higher spleen-preserving rate.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfJOURNAL OF GASTROINTESTINAL SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy/methods-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMinimally Invasive Surgical Procedures/adverse effects*-
dc.subject.MESHMinimally Invasive Surgical Procedures/methods*-
dc.subject.MESHPancreatectomy/adverse effects*-
dc.subject.MESHPancreatectomy/methods*-
dc.subject.MESHPancreatic Neoplasms/diagnostic imaging-
dc.subject.MESHPancreatic Neoplasms/surgery*-
dc.subject.MESHPostoperative Complications*-
dc.subject.MESHPrecancerous Conditions/surgery-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRobotic Surgical Procedures-
dc.subject.MESHSpleen/surgery-
dc.subject.MESHSplenic Artery/surgery-
dc.subject.MESHSplenic Vein/surgery-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.titleMinimally Invasive Approach for Spleen-Preserving Distal Pancreatectomy: a Comparative Analysis of Postoperative Complication Between Splenic Vessel Conserving and Warshaw's Technique-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorLip Seng Lee-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorWoo Jung Lee-
dc.identifier.doi10.1007/s11605-016-3141-z-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.contributor.localIdA00088-
dc.relation.journalcodeJ01418-
dc.identifier.eissn1873-4626-
dc.identifier.pmid27073079-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs11605-016-3141-z-
dc.subject.keywordSpleen-preserving distal pancreatectomy-
dc.subject.keywordSplenic infarction-
dc.subject.keywordWarshaw’s technique-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.alternativeNameHwang, Ho Kyoung-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.contributor.affiliatedAuthorHwang, Ho Kyoung-
dc.contributor.affiliatedAuthorKang, Chang Moo-
dc.citation.volume20-
dc.citation.number8-
dc.citation.startPage1464-
dc.citation.endPage1470-
dc.identifier.bibliographicCitationJOURNAL OF GASTROINTESTINAL SURGERY, Vol.20(8) : 1464-1470, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid45675-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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