caa a22 4500 606248390 CHVBK 20210128101350.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-1002-5 doi (NATIONALLICENCE)springer-10.1007/s12262-013-1002-5 Comparison of Laparoscopic Distal Pancreatectomy with or without Splenic Preservation [Elektronische Daten] [Chao Jiang, Guo-Yue Lv, Ying-Chao Wang, Xue-Yan Liu, Guang-Yi Wang] Laparoscopic distal pancreatectomy (LDP) has gained large popularity in recent years, although the choice of whether to preserve the spleen has remained inconsistent. The aim of our study was to report our experiences with LDP and to provide evidence for the safety of the operative technique and an evaluation index of splenic function. We retrospectively evaluated all LDPs performed at our institution between March 2008 and February 2012. Cases were divided into a laparoscopic spleen-preserving distal pancreatectomy (LSPDP) group (n = 14) and an LDP with splenectomy (LDPS) group (n = 19). Parametric and nonparametric statistical analyses were used to compare perioperative and oncologic outcomes. Demographic characteristics, operating time, length of stay, estimated blood loss, transfusion requirement, pathologic diagnosis, and complication rate were similar between groups. Patients who underwent LDPS tended to have larger masses and lower pancreatic fistula rates, but these differences were not significant. White blood cell (WBC) counts were significantly higher in the LDPS group than in the LSPDP group on postoperative days 1 and 7. To avoid splenectomy-associated complications, preservation of the spleen and especially the splenic vessels are preferred. This procedure can be performed safely and feasibly. Lower postoperative WBC counts may imply better splenic function. Association of Surgeons of India, 2013 Laparoscopic distal pancreatectomy nationallicence Spleen preserving nationallicence Pancreatectomy nationallicence Minimally invasive surgery nationallicence Jiang Chao Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut Lv Guo-Yue Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut Wang Ying-Chao Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut Liu Xue-Yan Department of Cardiology, China-Japan Union Hospital of Jilin University, 130033, Changchun, China aut Wang Guang-Yi Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 783-787 0972-2068 77<783 2015 77 12262 https://doi.org/10.1007/s12262-013-1002-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-1002-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jiang Chao Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut NATIONALLICENCE 700 1- Lv Guo-Yue Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut NATIONALLICENCE 700 1- Wang Ying-Chao Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut NATIONALLICENCE 700 1- Liu Xue-Yan Department of Cardiology, China-Japan Union Hospital of Jilin University, 130033, Changchun, China aut NATIONALLICENCE 700 1- Wang Guang-Yi Department of HepatobiliaryPancreatic Surgery, First Hospital of Jilin University, 130021, Changchun, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 783-787 0972-2068 77<783 2015 77 12262