Evidence map›Paper›PMID 34405334›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022

Short-Term Outcomes of the Tail-First Approach in Laparoscopic Spleen-Preserving Distal Pancreatectomy: a Single Center Experience.

Jianwei Xu, Naikuan Ye, Shihong Chen, Wenyi Guo, Feng Li, Hanxiang Zhan, Dong Wu, Sanyuan Hu, Lei Wang

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jianwei XuDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China. wdxujianwei@163.com.
Naikuan YeDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Shihong ChenDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Wenyi GuoDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Feng LiDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Hanxiang ZhanDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Dong WuDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Sanyuan HuDepartment of General Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Lei WangDepartment of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China. qlwanglei1102@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral approaches have been reported during laparoscopic spleen-preserving distal pancreatectomy (LSPDP), such as medial, lateral, and posterior approaches. This study reports a tail-first approach that is mobilization of the pancreatic gland from tail to neck followed by division. The short-term outcomes are described.

methodsCases which underwent LSPDP from 2014 to 2020 at Qilu Hospital of Shandong University were included. Clinical parameters were collected and analyzed.

resultsOne hundred five cases were collected, including 54 Kimura, 45 Warshaw, and 6 modified-Warshaw procedures. Seventy-seven patients (73.3%) underwent LSPDP by a tail-first approach (TFA-LSPDP) and 28 (26.7%) by a medial approach (M-LSPDP). Compared with the M-LSPDP, the TFA-LSPDP group had a lower incidence of splenic infraction (9.1 VS 25.0%, P = 0.05) and a higher frequency of Kimura procedure (55.8 VS 39.3%, P = 0.053).

conclusionTFA-LSPDP is feasible and safe for treatment of benign and low malignant lesions of the distal pancreas, which has a lower incidence of splenic infraction and a higher frequency of splenic vessel preservation compared with the traditional medial approach.

Indexed as

LaparoscopyPancreatic NeoplasmsHumansPancreatectomyPostoperative ComplicationsSpleenKimura procedureLaparoscopic distal pancreatectomyOutcomesSpleen-preservationSurgical approachWarshaw procedure

Identifiers

PMID34405334

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