Details

Autor(en) / Beteiligte

• Zhu, Alice
• Greene, Brittany
• Tsang, Melanie
• Jayaraman, Shiva

Titel

Laparoscopic spleen-preserving distal pancreatectomy: Why not do a Warshaw?

Ist Teil von

• Canadian Journal of Surgery, 2022-11, Vol.65, p.S110-S110

Ort / Verlag

Ottawa: CMA Impact, Inc

Erscheinungsjahr

2022

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Background: Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) can be accomplished with either resection of the splenic vessels via the Warshaw Technique (WT) or via preservation of the splenic vessels (VSPs). Our study aimed to compare outcomes for the 2 methods of LSPDP. Methods: We performed a retrospective chart review with intent-to-treat analysis of adults undergoing LSPDP at a single institution from 2009 to 2021. Outcomes of interests included the safety and clinical outcomes of the 2 approaches. We compared demographic characteristics, operative parameters, oncologic pathology review, and postoperative patient outcomes. Results: There were 102 consecutive cases of LSPDP (59 WT, 43 VSP) over 12 years. The rate of successful spleen preservation was not significantly different between the 2 groups (WT 76.3%, VSP 65.1%, p = 0.27). Rates of conversion to laparotomy; postoperative complications, including pancreatic fistulas and splenic infarcts; and amount of intraoperative blood loss were similar between the groups. Median operative time was significantly shorter with the WT (141 v. 177 min, p < 0.05). The median length of stay in hospital was not significantly different between the groups. Conclusion: Both techniques are safe and effective in preserving the spleen in LSPDP. The WT may be more efficient with respect to use of limited operating room resources, as it was more than 30 minutes faster than vessel preservation.