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Published in: Journal of Gastrointestinal Surgery 1/2011

01-01-2011 | How I Do It

Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It

Authors: Piero Marco Fisichella, Vidya Shankaran, Margo Shoup

Published in: Journal of Gastrointestinal Surgery | Issue 1/2011

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Abstract

Objectives

Although the technique of distal pancreatectomy with or without en bloc splenectomy has been well described, the execution of this procedure may be technically challenging when performed laparoscopically. In this technical report, we aimed to describe the technique of laparoscopic distal pancreatectomy with or without splenic preservation.

Discussion

Laparoscopic distal pancreatectomy with or without splenectomy is a safe and effective surgical approach for the correction of various conditions. It has been proven to be a feasible solution for the treatment of benign inflammatory conditions as well as neoplasms. Splenic preservation requires careful and meticulous dissection, but may be done safely.
Literature
1.
go back to reference Gagner M. Pioneers in laparoscopic solid organ surgery. Surg Endosc 2003;17:1853–1854; author reply 1855PubMedCrossRef Gagner M. Pioneers in laparoscopic solid organ surgery. Surg Endosc 2003;17:1853–1854; author reply 1855PubMedCrossRef
2.
go back to reference Borja-Cacho D, Al-Refaie WB, Vickers SM, et al. Laparoscopic distal pancreatectomy. J Am Coll Surg 2009;209:758–765; quiz 800PubMedCrossRef Borja-Cacho D, Al-Refaie WB, Vickers SM, et al. Laparoscopic distal pancreatectomy. J Am Coll Surg 2009;209:758–765; quiz 800PubMedCrossRef
3.
go back to reference Giger U, Michel JM, Wiesli P, et al. Laparoscopic surgery for benign lesions of the pancreas. J Laparoendosc Adv Surg Tech A 2006;16:452–457PubMedCrossRef Giger U, Michel JM, Wiesli P, et al. Laparoscopic surgery for benign lesions of the pancreas. J Laparoendosc Adv Surg Tech A 2006;16:452–457PubMedCrossRef
4.
go back to reference Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988;123:550–553PubMed Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988;123:550–553PubMed
5.
go back to reference Baker MS, Bentrem DJ, Ujiki MB, et al. A prospective single institution comparison of peri-operative outcomes for laparoscopic and open distal pancreatectomy. Surgery 2009;146:635–643; discussion 643–635PubMedCrossRef Baker MS, Bentrem DJ, Ujiki MB, et al. A prospective single institution comparison of peri-operative outcomes for laparoscopic and open distal pancreatectomy. Surgery 2009;146:635–643; discussion 643–635PubMedCrossRef
6.
go back to reference Knaebel HP, Diener MK, Wente MN, et al. Systematic review and meta-analysis of technique for closure of the pancreatic remnant after distal pancreatectomy. Br J Surg 2005;92:539–546PubMedCrossRef Knaebel HP, Diener MK, Wente MN, et al. Systematic review and meta-analysis of technique for closure of the pancreatic remnant after distal pancreatectomy. Br J Surg 2005;92:539–546PubMedCrossRef
7.
go back to reference Kooby DA, Gillespie T, Bentrem D, et al. Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 2008;248:438–446PubMed Kooby DA, Gillespie T, Bentrem D, et al. Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 2008;248:438–446PubMed
8.
go back to reference Finan KR, Cannon EE, Kim EJ, et al. Laparoscopic and open distal pancreatectomy: a comparison of outcomes. Am Surg 2009;75:671–679; discussion 679–680PubMed Finan KR, Cannon EE, Kim EJ, et al. Laparoscopic and open distal pancreatectomy: a comparison of outcomes. Am Surg 2009;75:671–679; discussion 679–680PubMed
9.
go back to reference Lillemoe KD, Kaushal S, Cameron JL, et al. Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg 1999;229:693–698; discussion 698–700PubMedCrossRef Lillemoe KD, Kaushal S, Cameron JL, et al. Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg 1999;229:693–698; discussion 698–700PubMedCrossRef
10.
go back to reference Harris LJ, Abdollahi H, Newhook T, et al. Optimal Technical Management of Stump Closure Following Distal Pancreatectomy: A Retrospective Review of 215 Cases. J Gastrointest Surg 2010;14(6):998–1005PubMedCrossRef Harris LJ, Abdollahi H, Newhook T, et al. Optimal Technical Management of Stump Closure Following Distal Pancreatectomy: A Retrospective Review of 215 Cases. J Gastrointest Surg 2010;14(6):998–1005PubMedCrossRef
11.
go back to reference Briggs CD, Mann CD, Irving GR, et al. Systematic review of minimally invasive pancreatic resection. J Gastrointest Surg 2009;13:1129–1137PubMedCrossRef Briggs CD, Mann CD, Irving GR, et al. Systematic review of minimally invasive pancreatic resection. J Gastrointest Surg 2009;13:1129–1137PubMedCrossRef
12.
go back to reference Warner EA, Ben-David K, Cendan JC, et al. Laparoscopic pancreatic surgery: what now and what next? Curr Gastroenterol Rep 2009;11:128–133PubMedCrossRef Warner EA, Ben-David K, Cendan JC, et al. Laparoscopic pancreatic surgery: what now and what next? Curr Gastroenterol Rep 2009;11:128–133PubMedCrossRef
13.
go back to reference Jimenez RE, Mavanur A, Macaulay WP. Staple line reinforcement reduces postoperative pancreatic stump leak after distal pancreatectomy. J Gastrointest Surg 2007;11:345–349PubMedCrossRef Jimenez RE, Mavanur A, Macaulay WP. Staple line reinforcement reduces postoperative pancreatic stump leak after distal pancreatectomy. J Gastrointest Surg 2007;11:345–349PubMedCrossRef
14.
go back to reference Thaker RI, Matthews BD, Linehan DC, et al. Absorbable mesh reinforcement of a stapled pancreatic transection line reduces the leak rate with distal pancreatectomy. J Gastrointest Surg 2007;11:59–65PubMedCrossRef Thaker RI, Matthews BD, Linehan DC, et al. Absorbable mesh reinforcement of a stapled pancreatic transection line reduces the leak rate with distal pancreatectomy. J Gastrointest Surg 2007;11:59–65PubMedCrossRef
15.
go back to reference Fingerhut A, Veyrie N, Ata T, et al. Use of sealants in pancreatic surgery: critical appraisal of the literature. Dig Surg 2009;26:7–14PubMedCrossRef Fingerhut A, Veyrie N, Ata T, et al. Use of sealants in pancreatic surgery: critical appraisal of the literature. Dig Surg 2009;26:7–14PubMedCrossRef
Metadata
Title
Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It
Authors
Piero Marco Fisichella
Vidya Shankaran
Margo Shoup
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 1/2011
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-010-1313-9

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