Detail of the en-bloc technique and prognosis of spleen-preserving laparoscopic distal pancreatectomy for pancreatic cancer

doi:10.3969/j.issn.1006-7795.2017.05.019

Abstract

Abstract: Objective The aim of our study was to illustrate the detail of the spleen-preserving en-bloc technique as while as the short-term, long-term outcomes. Methods Describe the detail of the en-bloc technique with pictures. Evaluate the prognosis of successive 23 cases who underwent the laparoscopic distal pancreatectomy (LDP) surgery. There were 17 cases that underwent spleen-preserving LDP while 6 cases underwent spleen-resecting LDP. Results The average surgery time was (203 ±54)minutes, the average blood loss volume was (208 ±106)mL. One case was transferred to open surgery because of severe adhesion. The complication rate was 47% (n=8) in short-term after surgery. Pancreatic fistula rate was 41% (n=7). No lethal case occurred. The average diameter of the tumor was (32 ±12)mm. Average number of the lymph nodes obtained was (19.8 ±9.3). All the cutting edges were negative. Survival rate of the patient after 1, 3, 5 years were 64.7%, 52.9% and 41.2%. These records showed no statistical significance compared with spleen-resecting LDP and open distal pancreatectomy (ODP) surgeries. Conclusion The en-bloc spleen-preserving LDP can be performed by experienced surgeons. This surgery has good short-term and long-term outcome.

Key words: spleen-preserving laparoscopic distal pancreatectomy, pancreatic cancer, en-bloc technique, radical antegrade modular pancreaticosplenectomy

CLC Number:

R735.9

Sun Zhipeng, Zhu Yubing, Aminbuhe, Fan Qing, Li Tianxiong, Zhang Nengwei. Detail of the en-bloc technique and prognosis of spleen-preserving laparoscopic distal pancreatectomy for pancreatic cancer[J]. Journal of Capital Medical University, 2017, 38(5): 733-739.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.05.019

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I5/733

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