TY - JOUR
T1 - Laparoscopic spleen-preserving distal pancreatectomy
AU - Schlöricke, Erik
AU - Nolde, Jan
AU - Hoffmann, Martin
AU - Roblick, Uwe
AU - Bruch, Hans Peter
PY - 2011/10/1
Y1 - 2011/10/1
N2 - Purpose: For a long time, laparoscopic pancreatic surgery was simply a matter of extended diagnostics without a simultaneous resection. Methods: The increase of experience in complex laparoscopic procedures combined with a substantial improvement in technical equipment has led to the possibility of performing pancreatic resections laparoscopically. Results: In contrast to the experimental laparoscopic pancreaticoduodenectomy, laparoscopic distal pancreatectomy has proved its safety and efficacy. Conclusion: In order to avoid splenectomy-associated complications, such as the OPSI-syndrome or formation of abscesses in the splenic area, the spleen-preserving technique is more favorable. Due to ischemia caused by the resection of the splenic vessels, as well as portal hypertension in the long-term follow-up, those vessels should remain untouched. The following article and video describe our approach for laparoscopic spleen-preserving distal pancreatectomy with sparing of the splenic vessels.
AB - Purpose: For a long time, laparoscopic pancreatic surgery was simply a matter of extended diagnostics without a simultaneous resection. Methods: The increase of experience in complex laparoscopic procedures combined with a substantial improvement in technical equipment has led to the possibility of performing pancreatic resections laparoscopically. Results: In contrast to the experimental laparoscopic pancreaticoduodenectomy, laparoscopic distal pancreatectomy has proved its safety and efficacy. Conclusion: In order to avoid splenectomy-associated complications, such as the OPSI-syndrome or formation of abscesses in the splenic area, the spleen-preserving technique is more favorable. Due to ischemia caused by the resection of the splenic vessels, as well as portal hypertension in the long-term follow-up, those vessels should remain untouched. The following article and video describe our approach for laparoscopic spleen-preserving distal pancreatectomy with sparing of the splenic vessels.
UR - http://www.scopus.com/inward/record.url?scp=80052835090&partnerID=8YFLogxK
U2 - 10.1007/s00423-011-0755-1
DO - 10.1007/s00423-011-0755-1
M3 - Journal articles
C2 - 21380617
AN - SCOPUS:80052835090
SN - 1435-2443
VL - 396
SP - 1119
EP - 1123
JO - Langenbeck's Archives of Surgery
JF - Langenbeck's Archives of Surgery
IS - 7
ER -