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Distal Pancreatectomy with Splenic Preservation

  • Shi-Lei Liu
  • Wei Gong
Chapter

Abstract

Distal pancreatectomy (exsection of the pancreatic body and tail) can be operated with or without splenic preservation. The significance of preserving the spleen has been shown for lesions confined to the pancreas or in situ lesions. Splenic preservation offers various advantages as: fewer postoperative complications [1], shorter length of hospitalization, delayed onset of diabetes, and reduction of the long-term risk of postsplenectomy sepsis and overwhelming postsplenectomy infection (OPSI) [2–5].

References

  1. 1.
    Gianpaolo B, Alessandro Z, Valerio DC. Spleen-preserving distal pancreatectomy with excision of splenic artery and vein: a cautionary note. World J Surg. 2007;31(7):1530. author reply 1531.CrossRefGoogle Scholar
  2. 2.
    Govil S, Imrie CW. Value of splenic preservation during distal pancreatectomy for chronic pancreatitis. Br J Surg. 1999;86(7):895.CrossRefGoogle Scholar
  3. 3.
    Lutwick LI. Life threatening infections in the asplenic or hyposplenic individual. Curr Clin Top Infect Dis. 2002;22(22):78–96.PubMedGoogle Scholar
  4. 4.
    Fernández-Cruz L, et al. Distal pancreatectomy: en-bloc splenectomy vs spleen-reserving pancreatectomy. HPB. 2010;7(2):93–8.CrossRefGoogle Scholar
  5. 5.
    Hutchins RR, et al. Long-term results of distal pancreatectomy for chronic pancreatitis in 90 patients. Ann Surg. 2002;236(5):612–8.CrossRefGoogle Scholar
  6. 6.
    Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg. 1988;123(5):550–3.CrossRefGoogle Scholar
  7. 7.
    Kimura W, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. World J Gastroenterol. 2007;120(10):885.Google Scholar
  8. 8.
    Jain G, Chakravartty S, Patel AG. Spleen-preserving distal pancreatectomy with and without splenic vessel ligation: a systematic review. HPB. 2013;15(6):403–10.CrossRefGoogle Scholar
  9. 9.
    Elabbasy F, et al. Minimally invasive spleen-preserving distal pancreatectomy: does splenic vessel preservation have better postoperative outcomes? A systematic review and meta-analysis. Hepatobiliary Pancreat Dis Int. 2015;14(4):346–53.CrossRefGoogle Scholar
  10. 10.
    Partelli S, et al. A systematic review and meta-analysis of spleen-preserving distal pancreatectomy with preservation or ligation of the splenic artery and vein. The Surgeon. 2015;14(2):109–18.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Shi-Lei Liu
    • 1
  • Wei Gong
    • 1
  1. 1.Xinhua Hospital, Shanghai Jiaotong UniversityShanghaiChina

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