Laparoscopic distal pancreatectomy with division of the pancreatic neck for benign and borderline malignant tumor in the proximal body of the pancreas

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Chang Moo KangWoo Jung Lee

Abstract

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. Ten patients underwent laparoscopic STP with pancreatic division at the level of SMV-SV-PV confluence for benign and borderline pancreatic disease. 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 o...Continue Reading

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Citations

Mar 8, 2014·World Journal of Gastroenterology : WJG·Chang Moo KangWoo Jung Lee
Aug 27, 2014·Journal of Hepato-biliary-pancreatic Sciences·Chang Moo KangWoo Jung Lee
Jun 24, 2017·Surgical Endoscopy·Marita D BaumanEugene P Ceppa
Apr 14, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lip Seng LeeWoo Jung Lee

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Methods Mentioned

BETA
pancreatectomy
dissection
pancreatectomies

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