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Uranues, S; Alimoglu, O; Todoric, B; Toprak, N; Auer, T; Rondon, L; Sauseng, G; Pfeifer, J.
Laparoscopic resection of the pancreatic tail with splenic preservation.
Am J Surg. 2006; 192(2):257-261
Doi: 10.1016/j.amjsurg.2006.01.031
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Uranüs Selman
- Co-authors Med Uni Graz
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Auer-Schönbach Thomas
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Pfeifer Johann
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Todoric Boban
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- Abstract:
- Objective: Evaluation of feasibility and efficacy of left resection of the pancreas with preservation of the splenic vessels and spleen as a laparoscopic procedure. Background: Laparoscopic technique is used less often on the pancreas than on other organs. The most common indications are enucleation of endocrine-active tumors and distal resections for benign primary pancreatic lesions. An important premise of these operations is atraumatic removal of as little of the pancreas as possible and the preservation of the spleen and its main vessels. Methods: Five patients aged 16 to 56 years, all female, underwent laparoscopic left resection of the pancreas with preservation of the splenic vessels and the spleen. There were 4 cases of benign epithelial tumors of the pancreas and I case of a left-sided adrenal cyst, which pre- and intraoperatively gave the impression of a pancreatic cystadenoma. Results: In all 5 cases, the laparoscopic procedure was completed with preservation of the splenic vessels and the spleen itself. No patient required blood transfusion, and there was only 1 postoperative fluid collection at the site of the tumor resection, which was drained percutaneously on the fourth postoperative day. Conclusion: Distal pancreas resection can be performed as a laparoscopic procedure, with the usual advantages that this techniques has for the patient. Optimal closure of the cut edge of the pancreas and the preservation of the spleen and its main vessels are the most important aspects of this operation. (c) 2006 Excerpta Medica Inc. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
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Adolescent -
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Adult -
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Cystadenoma, Mucinous - surgery
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Female -
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Follow-Up Studies -
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Humans -
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Laparoscopy -
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Middle Aged -
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Pancreas - surgery
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Pancreatectomy - methods
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Pancreatic Neoplasms - surgery
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Retrospective Studies -
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Spleen - blood supply Spleen - surgery
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Splenic Artery - surgery
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Treatment Outcome -
- Find related publications in this database (Keywords)
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laparoscopy
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pancreatic resection
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splenic preservation