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Pylorus- and spleen-preserving total pancreatoduodenectomy with resection of both whole splenic vessels: feasibility and laparoscopic application to intraductal papillary mucin-producing tumors of the pancreas

Authors
 Sung Hoon Choi  ;  Ho Kyoung Hwang  ;  Chang Moo Kang  ;  Chang Ik Yoon  ;  Woo Jung Lee 
Citation
 Surgical Endoscopy , Vol.26(7) : 2072-2077, 2012 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2012
Abstract
BACKGROUND: Total pancreatectomy is recommended for intraductal papillary mucinous tumors with widespread involvement of the entire pancreas. Organ-preserving and minimally invasive surgery should be applied in benign and borderline pancreatic lesions. METHODS: Pylorus- and spleen-preserving total pancreatoduodenectomy (PpSpTPD) with segmental resection of both splenic vessels was attempted for five patients. The technique was based on the concepts of two surgical procedures: pylorus-preserving pancreatoduodenectomy and distal pancreatectomy with segmental resection of splenic vessels ("extended" Warshaw's procedure). RESULTS: Three patients underwent laparoscopic-assisted PpSpTPD and two underwent open surgery. No mortality was noted. Short-term follow-up (median, 28 months) suggested that all patients tolerated the insulin therapy and showed relatively good nutritional status. Only minimal to moderate perigastric fundal varices were noted without gastrointestinal bleeding. CONCLUSIONS: PpSpTPD with segmental resection of both splenic vessels is feasible and safe. Even a minimally invasive approach can be indicated in selected patients.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91897
DOI
10.1007/s00464-011-2113-3
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
강창무(Kang, Chang Moo) ; 이우정(Lee, Woo Jung) ; 최성훈(Choi, Sung Hoon) ; 황호경(Hwang, Ho Kyoung)
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Full Text
http://link.springer.com/article/10.1007%2Fs00464-011-2113-3
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