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KMID : 0371420190960030101
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Annals of Surgical Treatment and Research
2019 Volume.96 No. 3 p.101 ~ p.106
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Splenic vessel patency: is it real menace to perform laparoscopic splenic vessel-preserving distal pancreatectomy
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Park Dae-Joon
Han In-Woong
Han Sang-Hyup
Han Sun-Jong
You Young-Hun
Rhu Young-Ju
Heo Jin-Seok
Choi Seong-Ho
Choi Dong-Wook
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Abstract
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Purpose: This study compared the patency of the splenic vessels between laparoscopic and open spleen and splenic vessel-preserving distal pancreatectomy.
Methods: We retrospectively reviewed a database of 137 patients who underwent laparoscopic (n = 91) or open (n = 46) spleen and splenic vessel-preserving distal pancreatectomy at a single institute from 2001 through 2015. Splenic vessel patency was assessed by abdominal computed tomography and classified into three grades according to the degree of stenosis.
Results: The splenic artery patency rate was similar in both groups (97.8 vs. 95.7%, P = 0.779). Also, the splenic vein patency rate was not significantly different between the 2 groups (74.7% vs. 82.6%, P = 0.521). Postoperative wound complication was significantly lower in the laparoscopic group (19.8% vs. 28.3%, P = 0.006), and hospital stay was significantly shorter in the laparoscopic group (7 days vs. 9 days, P = 0.001) than in the open group. Median follow-up periods were 22 months (3.7?96.2 months) and 31.7 months (4?104 months) in the laparoscopic and open groups, respectively.
Conclusion: Laparoscopic distal pancreatectomy showed good splenic vessel patency as well as open distal pancreatectomy. For this reason, splenic vessel patency is not an obstacle in performing laparoscopic splenic vessel-preserving distal pancreatectomy.
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KEYWORD
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Splenic vein, Splenic artery, Pancreatectomy, Laparoscopy, Vascular patency
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