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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 4/2019

01-04-2019 | Splenectomy | Pancreatic Tumors

Splenic Preservation Just Might Be Reasonable for Patients with Left-Sided Pancreatic Cancer

Author: Charles R. Scoggins, MD, MBA

Published in: Annals of Surgical Oncology | Issue 4/2019

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Excerpt

Pancreatic cancer continues to be one of the most lethal malignancies, and efforts to improve patient survival are often impacted by the narrow confines of the lesser sac and the biologic aggressiveness of the cancer. Multiple factors impact outcome, including tumor size, nodal status, and margin status. For patients with cancers in the neck, body, or tail of the pancreas, left-sided pancreatectomy is the surgical procedure of choice. This can be done using either open or minimally invasive techniques.1 Surgeons have long debated the role of splenectomy as part of left-sided pancreatectomy, especially in the setting of cancer. …
Literature
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Kooby DA, Hawkins WG, Schmidt CM, Weber SM, Bentram DJ, Gillespie TW, Sellers JB, Merchant NB, Scoggins CR, Martin RCG, Kim HJ, Ahmad S, Cho CS, Parikh AA, Chu CK, Hamilton NA, Doyle CJ, Pinchot S, Hayman A, McClaine R, Nakeeb A, Staley CA, McMasters KM, Lillemoe KD. A multicenter analysis of distal pancreatectomy for adenocarcinoma: Is laparoscopic resection appropriate? J Am Coll Surg. 2010;210:779–87.CrossRefPubMed
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Collard M, Marchese T, Guedj N, Cauchy F, Chassaing C, Ronot M, Dokmak S, Soubrane O, Sauvanet A. Is routine splenectomy justified for all left-sided pancreatic cancers? Histological reappraisal of splenic hilar lymphadenectomy. Ann Surg Oncol. 2019. https://​doi.​org/​10.​1245/​s10434-018-07123-8.
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Yeo CJ, Cameron JL, Lillemoe KD, Sohn TA, Campbell KA, Sauter PK, Coleman J, Abrams RA, Hruban RH. Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2: randomized controlled trial evaluating survival, morbidity, and mortality. Ann Surg. 2002;236(3):355–66.CrossRefPubMedPubMedCentral
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Ferrone CR, Konstantinidis IT, Sahani DV, Wargo JA, Fernandez-del Castillo C, Warshaw AL. Twenty-three years of the Warshaw operation for distal pancreatectomy with preservation of the spleen. Ann Surg. 2011;253(6):1136–9.CrossRefPubMed
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Kim H, Hwang DW, Lee JH, Shin SH, Jun ES, Kim SR, Kwak BJ, Kim TG, Park KM, Lee YJ, Kim SC. A single-center experience with the laparoscopic Warshaw technique in 122 consecutive patients. Surg Endosc. 2016;30(9):4057–64.CrossRefPubMedPubMedCentral
Metadata
Title
Splenic Preservation Just Might Be Reasonable for Patients with Left-Sided Pancreatic Cancer
Author
Charles R. Scoggins, MD, MBA
Publication date
01-04-2019
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 4/2019
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-07124-7

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