Modified laparoscopic splenic vessel-preserving distal pancreatectomy: Matador assistance and peel-away technique

Keiichi Suzuki, Osamu Itano, Go Oshima, Masayoshi Osaku, Fumiki Asanuma, Yuukou Kitagawa

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Laparoscopic splenic vessel-preserving distal pancreatectomy (lap-SVPDP) is a popular procedure in pancreatic surgery. However, postoperative complications include false aneurysms of the splenic artery, splenic vein stenosis and thrombosis, pancreatic fistulas, abscess, and perigastric varices. Methods: Eight patients (three men, five women, average age 66.1 years) with benign tumors underwent lap-SVPDP. Lap-SVPDP was performed in the lithotomy position with the head slightly elevated. The splenic vein was peeled longitudinally toward the pancreatic tail. A vessel-sealing system was used to detach the pancreatic body from the greater omentum, and the pancreas was transected using a surgical stapler. Results: Mean operation time was 254 min; mean blood loss was 163 ml; and mean post-surgical hospitalization time was 13 days. No postoperative bleeding from the preserved splenic vessels occurred, and there were no splenic infarcts or splenic abscesses. Conclusions: For safe performance of lap-SVPDP, the posterior surface of the pancreas should be completely exposed. The splenic vein should be 'peeled away', starting from its central rear, enabling easy detection of its course to avoid inadvertent sealing. With improved operational techniques, lap-SVPDP can be adopted as a standard procedure in pancreatic surgery.

Original languageEnglish
Pages (from-to)1205-1210
Number of pages6
JournalWorld Journal of Surgery
Volume38
Issue number5
DOIs
Publication statusPublished - 2014

Fingerprint

Pancreatectomy
Splenic Vein
Abscess
Pancreas
Surgical Staplers
Splenic Infarction
Pancreatic Fistula
Splenic Artery
Omentum
False Aneurysm
Varicose Veins
Pathologic Constriction
Hospitalization
Thrombosis
Head
Hemorrhage
cyhalothrin
Neoplasms

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Modified laparoscopic splenic vessel-preserving distal pancreatectomy : Matador assistance and peel-away technique. / Suzuki, Keiichi; Itano, Osamu; Oshima, Go; Osaku, Masayoshi; Asanuma, Fumiki; Kitagawa, Yuukou.

In: World Journal of Surgery, Vol. 38, No. 5, 2014, p. 1205-1210.

Research output: Contribution to journalArticle

Suzuki, Keiichi ; Itano, Osamu ; Oshima, Go ; Osaku, Masayoshi ; Asanuma, Fumiki ; Kitagawa, Yuukou. / Modified laparoscopic splenic vessel-preserving distal pancreatectomy : Matador assistance and peel-away technique. In: World Journal of Surgery. 2014 ; Vol. 38, No. 5. pp. 1205-1210.
@article{ca882908f5d84aed8e28f4b40be85400,
title = "Modified laparoscopic splenic vessel-preserving distal pancreatectomy: Matador assistance and peel-away technique",
abstract = "Background: Laparoscopic splenic vessel-preserving distal pancreatectomy (lap-SVPDP) is a popular procedure in pancreatic surgery. However, postoperative complications include false aneurysms of the splenic artery, splenic vein stenosis and thrombosis, pancreatic fistulas, abscess, and perigastric varices. Methods: Eight patients (three men, five women, average age 66.1 years) with benign tumors underwent lap-SVPDP. Lap-SVPDP was performed in the lithotomy position with the head slightly elevated. The splenic vein was peeled longitudinally toward the pancreatic tail. A vessel-sealing system was used to detach the pancreatic body from the greater omentum, and the pancreas was transected using a surgical stapler. Results: Mean operation time was 254 min; mean blood loss was 163 ml; and mean post-surgical hospitalization time was 13 days. No postoperative bleeding from the preserved splenic vessels occurred, and there were no splenic infarcts or splenic abscesses. Conclusions: For safe performance of lap-SVPDP, the posterior surface of the pancreas should be completely exposed. The splenic vein should be 'peeled away', starting from its central rear, enabling easy detection of its course to avoid inadvertent sealing. With improved operational techniques, lap-SVPDP can be adopted as a standard procedure in pancreatic surgery.",
author = "Keiichi Suzuki and Osamu Itano and Go Oshima and Masayoshi Osaku and Fumiki Asanuma and Yuukou Kitagawa",
year = "2014",
doi = "10.1007/s00268-013-2381-2",
language = "English",
volume = "38",
pages = "1205--1210",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Modified laparoscopic splenic vessel-preserving distal pancreatectomy

T2 - Matador assistance and peel-away technique

AU - Suzuki, Keiichi

AU - Itano, Osamu

AU - Oshima, Go

AU - Osaku, Masayoshi

AU - Asanuma, Fumiki

AU - Kitagawa, Yuukou

PY - 2014

Y1 - 2014

N2 - Background: Laparoscopic splenic vessel-preserving distal pancreatectomy (lap-SVPDP) is a popular procedure in pancreatic surgery. However, postoperative complications include false aneurysms of the splenic artery, splenic vein stenosis and thrombosis, pancreatic fistulas, abscess, and perigastric varices. Methods: Eight patients (three men, five women, average age 66.1 years) with benign tumors underwent lap-SVPDP. Lap-SVPDP was performed in the lithotomy position with the head slightly elevated. The splenic vein was peeled longitudinally toward the pancreatic tail. A vessel-sealing system was used to detach the pancreatic body from the greater omentum, and the pancreas was transected using a surgical stapler. Results: Mean operation time was 254 min; mean blood loss was 163 ml; and mean post-surgical hospitalization time was 13 days. No postoperative bleeding from the preserved splenic vessels occurred, and there were no splenic infarcts or splenic abscesses. Conclusions: For safe performance of lap-SVPDP, the posterior surface of the pancreas should be completely exposed. The splenic vein should be 'peeled away', starting from its central rear, enabling easy detection of its course to avoid inadvertent sealing. With improved operational techniques, lap-SVPDP can be adopted as a standard procedure in pancreatic surgery.

AB - Background: Laparoscopic splenic vessel-preserving distal pancreatectomy (lap-SVPDP) is a popular procedure in pancreatic surgery. However, postoperative complications include false aneurysms of the splenic artery, splenic vein stenosis and thrombosis, pancreatic fistulas, abscess, and perigastric varices. Methods: Eight patients (three men, five women, average age 66.1 years) with benign tumors underwent lap-SVPDP. Lap-SVPDP was performed in the lithotomy position with the head slightly elevated. The splenic vein was peeled longitudinally toward the pancreatic tail. A vessel-sealing system was used to detach the pancreatic body from the greater omentum, and the pancreas was transected using a surgical stapler. Results: Mean operation time was 254 min; mean blood loss was 163 ml; and mean post-surgical hospitalization time was 13 days. No postoperative bleeding from the preserved splenic vessels occurred, and there were no splenic infarcts or splenic abscesses. Conclusions: For safe performance of lap-SVPDP, the posterior surface of the pancreas should be completely exposed. The splenic vein should be 'peeled away', starting from its central rear, enabling easy detection of its course to avoid inadvertent sealing. With improved operational techniques, lap-SVPDP can be adopted as a standard procedure in pancreatic surgery.

UR - http://www.scopus.com/inward/record.url?scp=84898894017&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898894017&partnerID=8YFLogxK

U2 - 10.1007/s00268-013-2381-2

DO - 10.1007/s00268-013-2381-2

M3 - Article

C2 - 24305933

AN - SCOPUS:84898894017

VL - 38

SP - 1205

EP - 1210

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 5

ER -