Application of Early Splenic Artery Occlusion in Laparoscopic Spleen-preserving Distal Pancreatectomy using Kimura Technique

• Published in: Sichuan da xue xue bao. Journal of Sichuan University. Yi xue ban Vol. 51; no. 2; p. 236
• Main Authors: Ouyang, Guo-Qing, Li, Yong-Bin, Cai, Yun-Qiang, Cai, He, Peng, Bing
• Format: Journal Article
• Language: Chinese
• Published: China 01.03.2020
• Subjects: Humans; Laparoscopy - methods; Neoplasm Recurrence, Local; Pancreatectomy - methods; Pancreatic Neoplasms - surgery; Retrospective Studies; Spleen; Splenic Artery - surgery; Splenic Vein; Treatment Outcome; Distal pancreatectomy; Kimura technique; Spleen-preserving; Laparoscope
• ISSN: 1672-173X
• DOI: 10.12182/20200260201

To present our institutional experience in laparoscopic spleen-preserving distal pancreatectomy (Lap-SPDP) using Kimura technique with or without early occlusion of the root of the splenic artery. In addition, to explore the safety and feasibility of this occlusion technique, especially its advantages in intraoperative hemorrhage control and spleen preservation. From February 2011 to May 2019, 54 consecutive patients who were diagnosed as benign or low-grade malignant space-occupying lesions at the body and the tail of pancreas underwent Lap-SPDP using Kimura technique in our institution. Twenty-five patients before 2015 were allocated into non-occlusion group and 29 patients after 2015 were allocated into occlusion group. The non-occlusion group underwent direct dissection of the distal pancreas with blood supply from the splenic artery as well as traditional traction of the splenic artery without occlusion. Whereas the occlusion group underwent temporary occlusion of the root of the splenic artery by Bulldo