Literature DB >> 30370289

Laparoscopic spleen retains the body and tail of the pancreas resection.

Zhijian Zheng1, Yihua Shi1, Tianfu Wen1, Deshuang Xiao1, Honggen Xu1, Qiang Wang1, David H Tian2,3, Lingbo Dai1.   

Abstract

Pancreatic serous cystic neoplasm (SCN) is a benign tumor of the pancreas, about two-thirds situated in the tail of the pancreas. The small sized ones usually require only routine follow-ups, and is advised for surgical treatment when clinical symptoms, and mass growth are occurring rapidly, and the traditional treatment is splenectomy. Here, we have finished a laparoscopy resection of the spleen-preserving pancreatic body. A 46-year-old female presents for a follow-up after a physical examination found a tumor mass in the body and tail of the pancreas two years ago. After the tumor had become fast-growing and appeared to have other clinical symptoms, a final laparoscopy surgery was performed to retain the spleen of the pancreas. After the treatment, and a smooth recovery, the patient had been discharged. Spleen preserving laparoscopy, with distal pancreatectomy, in the treatment of benign tumors of the pancreatic body and tail, not only can reflect a minimally invasive treatment of postoperative pain, it provides a light and quick recovery advantage. The preservation of the spleen to avoid the long-term anticoagulation treatment, and the technology being relatively easily available, did not significantly increase the incidence of postoperative complications. It is worth using the clinic.

Entities:  

Keywords:  Serous cystic neoplasm (SCN); laparoscopy; pancreatic cystic neoplasms

Year:  2018        PMID: 30370289      PMCID: PMC6186566          DOI: 10.21037/atm.2018.08.36

Source DB:  PubMed          Journal:  Ann Transl Med        ISSN: 2305-5839


  5 in total

Review 1.  Laparoscopic pancreatic surgery for benign and malignant disease.

Authors:  Thijs de Rooij; Sjors Klompmaker; Mohammad Abu Hilal; Michael L Kendrick; Olivier R Busch; Marc G Besselink
Journal:  Nat Rev Gastroenterol Hepatol       Date:  2016-02-17       Impact factor: 46.802

2.  Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein.

Authors:  W Kimura; T Inoue; N Futakawa; H Shinkai; I Han; T Muto
Journal:  Surgery       Date:  1996-11       Impact factor: 3.982

Review 3.  Cystsic lesions of the pancreas.

Authors:  Mehdi Mohamadnejad; Mohamad A Eloubeidi
Journal:  Arch Iran Med       Date:  2013-04       Impact factor: 1.354

Review 4.  Cystic neoplasms of the pancreas.

Authors:  Anne Marie Lennon; Christopher Wolfgang
Journal:  J Gastrointest Surg       Date:  2013-01-24       Impact factor: 3.452

5.  European evidence-based guidelines on pancreatic cystic neoplasms.

Authors: 
Journal:  Gut       Date:  2018-03-24       Impact factor: 23.059

  5 in total

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