A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy
Spleen preserving laparoscopic distal pancreatectomy is considered as first choice operation for symptomatic benign or small malignant lesions located at the body or tail of the pancreas. The two main surgical techniques that have been proposed and widely adopted for spleen preserving laparoscopic d...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/1978362 |
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| author | Andreas Papatriantafyllou Theodoros Mavromatis Theano Demestiha Dimitrios Filippou Panagiotis Skandalakis |
| author_facet | Andreas Papatriantafyllou Theodoros Mavromatis Theano Demestiha Dimitrios Filippou Panagiotis Skandalakis |
| author_sort | Andreas Papatriantafyllou |
| collection | DOAJ |
| description | Spleen preserving laparoscopic distal pancreatectomy is considered as first choice operation for symptomatic benign or small malignant lesions located at the body or tail of the pancreas. The two main surgical techniques that have been proposed and widely adopted for spleen preserving laparoscopic distal pancreatectomy are the Warshaw and Kimura techniques. A novel modified approach for laparoscopic spleen preserving distal pancreatectomy is presented. The technique was initially performed in a 57-year-old female patient with mucinous cystadenoma. Following the surgical planes created by the fascia fusion and the organ rotation during embryogenesis (fascia of Toldt and renal fascia) with the patient in a right lateral decibutus position, the tumor was accessed retroperitoneally, without dividing the gastrocolic ligament and entering the lesser sac. The tail of the pancreas was mobilized anteriorly and medially, the lesion was visually identified and resected, and short gastric and left gastroepiploic vessels were preserved. We present the technical details and tips; we define the surgical anatomy of it and discuss the perioperative course of the patient as well as the possible benefits of the proposed technique. The proposed technique seems to be safe, easy to perform, and may present a promising alternative approach for patients with pancreatic disease that can be treated by laparoscopic pancreatectomy. |
| format | Article |
| id | doaj-art-e677c444ef3a4156965f6062194ab2f7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e677c444ef3a4156965f6062194ab2f72025-02-03T01:23:41ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/19783621978362A Modified Technique for Laparoscopic Spleen Preserving Distal PancreatectomyAndreas Papatriantafyllou0Theodoros Mavromatis1Theano Demestiha2Dimitrios Filippou3Panagiotis Skandalakis43rd Department of Surgery, Evangelismos General Hospital, Athens, Greece3rd Department of Surgery, Evangelismos General Hospital, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceSpleen preserving laparoscopic distal pancreatectomy is considered as first choice operation for symptomatic benign or small malignant lesions located at the body or tail of the pancreas. The two main surgical techniques that have been proposed and widely adopted for spleen preserving laparoscopic distal pancreatectomy are the Warshaw and Kimura techniques. A novel modified approach for laparoscopic spleen preserving distal pancreatectomy is presented. The technique was initially performed in a 57-year-old female patient with mucinous cystadenoma. Following the surgical planes created by the fascia fusion and the organ rotation during embryogenesis (fascia of Toldt and renal fascia) with the patient in a right lateral decibutus position, the tumor was accessed retroperitoneally, without dividing the gastrocolic ligament and entering the lesser sac. The tail of the pancreas was mobilized anteriorly and medially, the lesion was visually identified and resected, and short gastric and left gastroepiploic vessels were preserved. We present the technical details and tips; we define the surgical anatomy of it and discuss the perioperative course of the patient as well as the possible benefits of the proposed technique. The proposed technique seems to be safe, easy to perform, and may present a promising alternative approach for patients with pancreatic disease that can be treated by laparoscopic pancreatectomy.http://dx.doi.org/10.1155/2018/1978362 |
| spellingShingle | Andreas Papatriantafyllou Theodoros Mavromatis Theano Demestiha Dimitrios Filippou Panagiotis Skandalakis A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy Case Reports in Surgery |
| title | A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy |
| title_full | A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy |
| title_fullStr | A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy |
| title_full_unstemmed | A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy |
| title_short | A Modified Technique for Laparoscopic Spleen Preserving Distal Pancreatectomy |
| title_sort | modified technique for laparoscopic spleen preserving distal pancreatectomy |
| url | http://dx.doi.org/10.1155/2018/1978362 |
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