Laparoscopic distal pancreatectomy:analysis of 28 cases

Chen Hua, Kong Rui, Zhang Zhijia, Li Zhonghui, Lyu Xinjian, Xu Jun, Sun Bei

Journal of Abdominal Surgery ›› 2017, Vol. 30 ›› Issue (1) : 27-30.

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Journal of Abdominal Surgery ›› 2017, Vol. 30 ›› Issue (1) : 27-30. DOI: 10.3969/j.issn.1003-5591.2017.01.008

Laparoscopic distal pancreatectomy:analysis of 28 cases

  • Chen Hua, Kong Rui, Zhang Zhijia, Li Zhonghui, Lyu Xinjian, Xu Jun, Sun Bei
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Abstract

Objective To evaluate the feasibility and clinical applied value of laparoscopic distal pancreatectomy (LDP).Methods The clinical data of 28 patients undergoing LDP from May 2014 to September 2016 in our hospital were retrospectively analyzed.Among the 28 patients,9 were male and 19 were female,with the age ranging from 17 to 69 years old.Results LDP with splenectomy was performed on 16 cases,and laparoscopic spleen-preserving distal pancreatectomy with Kimura's procedure or Warshaw's method was performed on 7 cases and 5 cases respectively.Pathologic examination showed serous cystadenoma in 2 patients,mucous cystadenoma in 9 patients,solid pseudo-papillary tumor in 6 patients,intraductal papillary mucinous neoplasm(IPMN) in 3 patients,insulinoma in 3 patients,pseudo cyst in 1 patient,chronic pancreatitis in 1 patient and pancreatic ductal adenocarcinoma in 3 patients.The average operation time was (203±54) min,mean blood loss was (115±138) mL,and the mean postoperative stay was (10±5) days.There were 9 cases of pancreatic fistula (32.1%) with clinical pancreatic fistula of 3 cases which were cured by irrigation and drainage.Spleen infarction occurred in 2 cases following Warshaw procedure,and cured by conservative treatment.Conclusions LDP is safe,feasible and effective with minimally invasive advantage,and it is worth of wide application.

Key words

Pancreatic neoplasm / Laparoscopic distal pancreatectomy / Minimally invasive surgery

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Chen Hua, Kong Rui, Zhang Zhijia, Li Zhonghui, Lyu Xinjian, Xu Jun, Sun Bei. Laparoscopic distal pancreatectomy:analysis of 28 cases[J]. Journal of Abdominal Surgery, 2017, 30(1): 27-30 https://doi.org/10.3969/j.issn.1003-5591.2017.01.008

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