Detailed Abstract
[Poster - Pancreas Disease/Surgery]
[P108] Dual-incision laparoscopic spleen-preserving distal pancreatectomy ; Merits in the surgical aspect compared with conventional method
Eun Young KIM1, Young Kyoung YOU2, Dong Goo KIM2, Tae Ho HONG2
1Department of Trauma and Surgical Critical Care, Seoul St. Mary’s Hospital, Korea
2Department of Hepato-Biliary and Pancreas Surgery, Seoul St. Mary’s Hospital, Korea B, Korea
Introduction : Herein we evaluate the safety and feasibility of the dual-incision laparoscopic spleen-preserving distal pancreatectomy (DILSPDP) for benign and borderline malignancy in the body or tail of the pancreas comparing with the surgical outcome of conventional LSPDP.
Methods : In the right lateral decubitus position of the patient, we performed DILSPDP using a multichannel trocar at the mid-clavicular line in left mid-abdominal quadrant via 3-cm transverse incision with one additional 5-mm trocar at the subxiphoid area, whereas four or five trocars were generally used in the supine position of the patient in case of conventional LSPDP. We retrospectively compared the demographics and operative outcomes between groups using two different types of surgical techniques.
Results : In this study, 22 cases of DILSPDP and 26 cases of conventional LSPDP were reviewed. Although there was no difference in terms of demographic features including disease diagnosis, tumor size or location between two groups, the operative time, blood loss and length of hospital stay was significantly lower in DILSPDP group (p=0.004, 0.011, and 0.028, respectively). Moreover, DILSPDP was more successful for complete preservation of splenic vessels than conventional LSPDP (95.5% vs. 65.4%, p=0.013).
Conclusions : Authors suppose that DILSPDP could be a safe and feasible technique for benign or borderline malignant tumors in the body or tail of pancreas accompanying with not only the advantages of minimal invasive surgery but also technical ease for LSPDP.
Methods : In the right lateral decubitus position of the patient, we performed DILSPDP using a multichannel trocar at the mid-clavicular line in left mid-abdominal quadrant via 3-cm transverse incision with one additional 5-mm trocar at the subxiphoid area, whereas four or five trocars were generally used in the supine position of the patient in case of conventional LSPDP. We retrospectively compared the demographics and operative outcomes between groups using two different types of surgical techniques.
Results : In this study, 22 cases of DILSPDP and 26 cases of conventional LSPDP were reviewed. Although there was no difference in terms of demographic features including disease diagnosis, tumor size or location between two groups, the operative time, blood loss and length of hospital stay was significantly lower in DILSPDP group (p=0.004, 0.011, and 0.028, respectively). Moreover, DILSPDP was more successful for complete preservation of splenic vessels than conventional LSPDP (95.5% vs. 65.4%, p=0.013).
Conclusions : Authors suppose that DILSPDP could be a safe and feasible technique for benign or borderline malignant tumors in the body or tail of pancreas accompanying with not only the advantages of minimal invasive surgery but also technical ease for LSPDP.
SESSION
Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM