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Revisiting vascular patency after spleen-preserving laparoscopic distal pancreatectomy with conservation of splenic vessels

Authors
 Ho Kyoung Hwang  ;  Young Eun Chung  ;  Kyoung Ah Kim  ;  Chang Moo Kang  ;  Woo Jung Lee 
Citation
 Surgical Endoscopy , Vol.26(6) : 1765-1771, 2012 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2012
Abstract
BACKGROUND: We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleen-preserving distal pancreatectomy (SPDP) with conservation of both splenic vessels. METHODS: We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity. RESULTS: Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete follow-up data were included in this study. During the follow-up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2%) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8%) had patent conserved splenic vein. Four patients (13.8%) eventually developed collateral venous vessels around gastric fundus and reserved spleen, but no spleen infarction was found, and none presented clinical relevant symptoms, such as variceal bleeding. There was no statistical difference in vascular patency between the laparoscopic and robotic groups (P > 0.05). CONCLUSIONS: Most patients showed intact vascular patency in conserved splenic vessels and no secondary changes in the preserved spleen after laparoscopic splenic vessel-conserving SPDP.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91905
DOI
10.1007/s00464-011-2108-0
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
강창무(Kang, Chang Moo) ; 김경아(Kim, Kyung Ah) ; 이우정(Lee, Woo Jung) ; 정용은(Chung, Yong Eun) ; 황호경(Hwang, Ho Kyoung)
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