ResectionTumorsBenignLesionLesionsPatient underwentAdenocarcinomaUnderwentLaparoscopic SplenectomyPeritonealIndicationsComplicationsSpleen preservationPancreatosplenectomyHaematologicalProcedure of choicePancreatic fistulaPerioperativeBowelSymptomaticIndication2021SurgeryPatientsDiagnosisVesselsCysticSpecimenSurgeriesAbscessAdrenal glandChoiceCaseSurgical procedureBodyCancer
Resection8
- Depending on the extent of resection, pancreatic surgeries for malignancy include enucleation (for islet cell tumors ), partial pancreatic resections ( distal pancreatectomy , central pancreatectomy , pancreaticoduodenectomy / Whipple procedure ), and total pancreatectomy . (amboss.com)
- Common indications for elective total pancreatectomy include chronic pancreatitis that is refractory to medical management, premalignant lesions (intraductal papillary mucinous neoplasms) where partial resection is not sufficient, pancreatic neuroendocrine tumors, and malignant tumors of the pancreas ( 2 - 4 ). (turkjsurg.com)
- Changes in morbidity after pancreatic resection: toward the end of completion pancreatectomy. (edu.pl)
- Siriwardana H, Siriwardena A: Systematic review of outcome of synchronous portal-superior mesenteric vein resection during pancreatectomy for cancer. (edu.pl)
- Spleen sparing distal pancreatectomy with segmental resection of transverse colon with colo-colic anastomosis was performed and the diagnosis of SPEN was subsequently confirmed on histopathology examination. (ijsurgery.com)
- Low anterior resection is recommended for rectal tumors in which a 1-cm distal margin is achievable without sphincter encroachment. (jomi.com)
- Resection was recommended, and spleenpreserving, pancreatectomy (SPDP) sparing the spleenic artery and vein was carried out (Figures 2). (symbiosisonlinepublishing.com)
- The next landmark in pancreatic surgery was the distal pancreatic resection. (biomedcentral.com)
Tumors5
- Distal pancreatectomy and splenectomy -- This surgery is used more often for tumors in the middle and tail of the pancreas. (medlineplus.gov)
- Splenectomy is indicated for proximal advanced tumors. (medscape.com)
- Minimally invasive pancreatectomy, particularly the distal procedure, was introduced around 25 years ago, but it was initially used only for benign tumors or borderline malignancies. (medscape.com)
- Procedures include a distal pancreatectomy with or without splenectomy (for tumors in the body and tail of pancreas) and pancreaticoduodenectomy (for those in the head of the pancreas). (orpha.net)
- Spleen-preserving distal pancreatectomy is reserved for chronic pancreatitis , proven benign pancreatic lesions and cysts, neuroendocrine tumors, and trauma . (medscape.com)
Benign1
- Vessels-Sparing, Spleen-preserving distal pancreatectomy is an optimum choice for benign Pancreatic Cystic Lesions. (symbiosisonlinepublishing.com)
Lesion6
- Retro- pancreatic tunnel created at distal body of pancreas medial to the lesion. (sages.org)
- As splenic vessels were going through the lesion, proceeded for splenectomy en bloc. (sages.org)
- Pancreas divided with stapler using green cartridge at distal body leaving adequate margin from the lesion. (sages.org)
- However, pancreatectomy can increase the survival rate when the lesion is completely resectable. (kjco.org)
- At presentation, she was found to have a lesion on the distal sigmoid colon, peritoneal nodules and mass at the tail of the pancreas. (cancertreatmentjournal.com)
- We report a case of a middle age woman who underwent spleen-preserving distal pancreatectomy for a symptomatic pancreatic cystic lesion. (symbiosisonlinepublishing.com)
Lesions1
- Spleen-preserving distal pancreatectomy is contraindicated for malignant lesions of the distal pancreas. (medscape.com)
Patient underwent2
- The patient underwent a distal pancreatectomy and splenectomy. (hindawi.com)
- The patient underwent distal pancreato-splenectomy. (kjco.org)
Adenocarcinoma4
- The investigators focused on patients who had an indication for elective distal pancreatectomy plus splenectomy due to proven or highly suspected pancreatic ductal adenocarcinoma in the pancreatic body or tail. (medscape.com)
- Intraoperatively, the pancreas was cut along the portal vein, and cytology of the pancreatic juice from the pancreas distal to the cutting line showed adenocarcinoma. (elsevierpure.com)
- In this case, Dr. Carlos Fernandez-del Castillo at MGH performs and narrates an open distal pancreatectomy with splenectomy in a patient who has undergone neoadjuvant treatment for pancreatic adenocarcinoma. (jomi.com)
- [ 2 ] Distal pancreaticosplenectomy with lymphadenectomy is indicated for adenocarcinoma that is locally resectable without distant metastasis. (medscape.com)
Underwent1
- Five (35.7%) patients underwent perioperative total pancreatectomy because of high risk of pancreatic fistula development due to hard parenchyma and narrow pancreatic duct. (turkjsurg.com)
Laparoscopic Splenectomy1
- Impaired pancreatic perfusion in splenic vein thrombosis following laparoscopic splenectomy: A potential mechanism for postoperative pancreatic fistula after laparoscopic distal pancreatosplenectomy? (jtraumainj.org)
Peritoneal1
- Contraindications to distal pancreatosplenectomy and spleen-preserving pancreatectomy include metastatic disease, peritoneal carcinosis, vascular invasion, and pancreatitis involving the entire pancreas. (medscape.com)
Indications2
- Distal Pancreatectomy With or Without Splenectomy: Indications, Pitfalls and Long Term Outcomes. (unina.it)
- The indications for SPDP are visited, different techniques for spleenpreserving pancreatectomy are examined and the rationale behind the chosen technique is explained. (symbiosisonlinepublishing.com)
Complications5
- Background Previous studies have reported contrasting results regarding the advantages of spleen preservation during laparoscopic distal pancreatectomy (LDP) for preventing infectious complications. (gnu.ac.kr)
- Postoperative infectious complications and other complications were compared between LDP with splenectomy (LDPS) and LDP with spleen preservation (LSPDP) by propensity score matching (PSM) analysis. (gnu.ac.kr)
- For an infarcted spleen with any of the above-mentioned complications, splenectomy is required. (medscape.com)
- Complications, such as bleeding or pseudocyst formation, also may be amenable to splenic salvage using techniques of partial splenectomy. (medscape.com)
- In addition, conversion total pancreatectomy is performed in patients who are scheduled for partial pancreatectomy but considered to be at high risk of developing pancreatic fistula in the postoperative period, and completion total pancreatectomy is also performed after complications such as postoperative bleeding and abscess development after partial pancreatectomy ( 7 - 9 ). (turkjsurg.com)
Spleen preservation1
- Our aim was to evaluate the effect of total pancreatectomy with spleen preservation as well as splenectomy on the quality of life of the patients. (turkjsurg.com)
Pancreatosplenectomy1
- Pancreatosplenectomy (pancreaticosplenectomy) or spleen-preserving pancreatectomy is performed to surgically treat pancreatic disease of the tail and body. (medscape.com)
Haematological1
- The septic and haematological consequences of splenectomy lead to the development of spleen-preserving techniques during distal pancreatectomy. (symbiosisonlinepublishing.com)
Procedure of choice1
- Distal pancreatectomy with splenectomy is the procedure of choice as described in literature. (ijsurgery.com)
Pancreatic fistula1
- Postoperative Pancreatic Fistula Following Traumatic Splenectomy: What Techniques Affect Incidence? (jtraumainj.org)
Perioperative1
- Perioperative mortality for pancreatectomy: a national perspective. (edu.pl)
Bowel1
- Of the 132 procedures completed without conversion, 81 (61%) were diagnostic, whereas the remaining were therapeutic, including the repair of bowel injuries (n=20), distal pancreatectomy (n=5), splenectomy (n=2), repair of traumatic abdominal wall hernias (n=2), evacuation of hemothorax (n=3), and other thoracoscopic or laparoscopic interventions (n=19). (childrensmercy.org)
Symptomatic1
- Symptomatic or enlarging pancreatic pseudocysts can be treated with distal pancreatectomy after the acute pancreatitis episode has resolved. (medscape.com)
Indication1
- Intractable pain is the most common indication for distal pancreatectomy in chronic pancreatitis, with relief of symptoms in 31-90% patients. (medscape.com)
20211
- Patients from 35 centers in 12 countries were recruited between May 2018 and May 2021 and were randomly assigned to undergo either MIDP or open distal pancreatectomy. (medscape.com)
Surgery6
- Total pancreatectomy -- This surgery is not done very often. (medlineplus.gov)
- CHICAGO - Patients with resectable, early-stage pancreatic cancer can safely undergo minimally invasive distal pancreatectomy (MIDP) as an alternative to traditional open surgery, suggest results from the international DIPLOMA study. (medscape.com)
- For pancreatic cancer, we have proven for the first time that minimally invasive distal pancreatectomy is as good as open surgery," commented principal investigator Mohammad Abu Hilal, MD, PhD, surgical director at the Instituto Ospedaliero Fondazione Poliambulanza in Brescia, Italy. (medscape.com)
- After the first successful total pancreatectomy was performed by the Viennese surgeon Theodor Billroth in 1884, there have been many developments in pancreatic surgery over the last century, but the high mortality and morbidity rates have made surgeons hesitant about pancreatic surgery ( 5 ). (turkjsurg.com)
- [ 3 ] Surgery is indicated for pain, pseudocysts , suspicion of malignancy, stenosis of the mid to distal pancreatic duct, pancreatolithiasis, and stenosis of the celiac or mesenteric vessels. (medscape.com)
- These techniques are used regularly for surgery of the pancreas including distal pancreatectomy and pancreatoduodenectomy. (biomedcentral.com)
Patients5
- Many of the altitude-related episodes in patients with sickle cell disease can be safely treated with supportive care rather than with splenectomy. (medscape.com)
- The endocrine and exocrine pancreatic insufficiency that develops in patients after total pancreatectomy can lead to a serious decrease in the quality of life of the patients due to pain, diarrhea, vomiting etc. (turkjsurg.com)
- A total of 47 total pancreatectomy patients, 30 (63.8%) males and 17 (36.2%) females, were included in the study. (turkjsurg.com)
- After total pancreatectomy, quality of life of the patients is reduced both by surgical factors and by metabolic factors due to endocrine and exocrine insufficiency in the postoperative period. (turkjsurg.com)
- Splenectomy and distal pancreatectomy were performed in 4 patients, splenectomy alone in 2 patients, endovascular transcatheter embolization in 2 patients, and simple ligation in 1 patient. (elsevierpure.com)
Diagnosis1
- Ralph had a distal pancreatectomy and splenectomy without a diagnosis. (pancan.org)
Vessels1
- Vessels-Sparing Spleen-Preserving Distal Pancreatectomy. (symbiosisonlinepublishing.com)
Cystic2
- CT scan of the abdomen revealed a calcified cystic mass located in the distal portion of the pancreas. (hindawi.com)
- Gross surgical specimen showing a well encapsulated cystic mass located in the distal pancreas. (hindawi.com)
Specimen2
- Gross surgical specimen showing the distal pancreas and the spleen. (hindawi.com)
- Histological examination of pancreatectomy specimen was confirmed to be a pseudocyst (Figure 3). (symbiosisonlinepublishing.com)
Surgeries1
- However, there has been an increase in the number of pancreatic surgeries and total pancreatectomies in the last 2-3 decades due to new treatment modalities, surgical techniques, surgeons' experience and knowledge, and the increase in the number of health care institutions with high technology and facilities. (turkjsurg.com)
Abscess3
- Traditionally, such abscesses have been managed by means of splenectomy, which can be technically challenging because of the intense surrounding inflammation and because of the scar tissue that surrounds the abscess. (medscape.com)
- [ 4 ] In certain circumstances, isolated splenic abscess can be treated with percutaneous drainage alone, and splenectomy can be avoided. (medscape.com)
- Whereas a unilocular abscess can be managed successfully in select cases with percutaneous catheter drainage, some authors advocate splenectomy in all cases of splenic infarct and abscess, questioning the utility of preserving the residual, partially functioning spleen. (medscape.com)
Adrenal gland1
- At the same time as the pancreatectomy, they took the spleen, Gaul bladder, one adrenal gland and over 20 lymph nodes. (mayoclinic.org)
Choice1
- Distal pancreatectomy is the treatment of choice in cases of complete rupture of the pancreatic body. (biomedcentral.com)
Case3
- Surgical video case: LESS distal pancreatectomy and splenectomy. (medtube.net)
- Considering a standard distal pancreatectomy procedure, what step(s) of the operation would you do differently in this case? (ihpba.org)
- Distal pancreatectomy for pancreatic arteriovenous malformation: report of a case. (bioseek.eu)
Surgical procedure1
- Total pancreatectomy is a major surgical procedure with serious risk of mortality and morbidity, and patient selection is important for prognosis. (turkjsurg.com)
Body1
- The transient increase in T-suppressor cells following splenectomy blunts the cellular response to antigens, the decreased IgM production diminishes the anti-body response to antigens not previously encountered, the decrease in properdin and tuftsin levels impairs opsonisation and phagocytosis and increase the risk of overwhelming infection from encapsulated organisms following splenectomy (1,2). (symbiosisonlinepublishing.com)
Cancer1
- I had a distal pancreatectomy/splenectomy in May, 2019, at University of Utah cancer center. (mayoclinic.org)