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Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure
http://hdl.handle.net/10069/35801
http://hdl.handle.net/10069/3580155e8dda6-e0ea-4fc4-a014-f7c816c0ef59
名前 / ファイル | ライセンス | アクション |
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Panc14_530.pdf (540.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2015-08-27 | |||||
タイトル | ||||||
タイトル | Laparoscopic spleen-preserving distal pancreatectomy with and without splenic vessel preservation: The role of the Warshaw procedure | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Laparoscopic distal pancreatectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pancreas tumor | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Splenic infarction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Splenic vessel preservation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Splenomegaly | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Warshaw technique | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Matsushima, Hajime
× Matsushima, Hajime× Kuroki, Tamotsu× Adachi, Tomohiko× Kitasato, Amane× Hirabaru, Masataka× Hidaka, Masaaki× Soyama, Akihiko× Takatsuki, Mitsuhisa× Eguchi, Susumu |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/objectives: Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) for low-grade malignant pancreas tumors was recently demonstrated. Although the procedure with splenic vessel preservation (SVP) is optimal for LSPDP, SVP is not always possible in patients with a large tumor or a tumor attached to splenic vessels. This study aimed to analyze the safety of two procedures: LSPDP without SVP, known as the Warshaw technique (lap-WT), and LSPDP with SVP (lap-SVP). Methods: Seventeen patients who underwent a lap-WT and seven patients who underwent a lap-SVP were investigated retrospectively. Results: The median follow-up duration was 45 (range 17-105) months. In the lap-WT and lap-SVP patients, the sizes of the tumors were 5 (1.3-12) and 1.5 (1-4) cm; the operative times were 304 (168-512) and 319 (238-387) min; the blood loss was 210 (5-3250) and 60 (9-210) gr; the length of the postoperative hospital stay was 15 (8-29) and 18 (5-24) days; the peak platelet counts were 37.2 (14.6 -65.2) and 26.4 (18.8-41) × 104/μL, and splenomegaly was observed in 10 (59%) and three (43%) patients, respectively. In both procedures, there was no local recurrence. In the lap-WT group, splenic infarctions were seen in four (24%) patients and perigastric varices were seen in two (12%) patients. All of these patients were observed conservatively. Conclusions: Both the lap-WT and lap-SVP were found to be safe and effective, and in cases in which the tumor is relatively large or close to the splenic vessels, lap-WT can be used as the more appropriate procedure. | |||||
書誌情報 |
Pancreatology 巻 14, 号 6, p. 530-535, 発行日 2014-11 |
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出版者 | ||||||
出版者 | IAP and EPC | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14243903 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.pan.2014.09.007 | |||||
権利 | ||||||
権利情報 | c 2014 IAP and EPC. Published by Elsevier, | |||||
権利 | ||||||
権利情報 | NOTICE: this is the author’s version of a work that was accepted for publication in Pancreatology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Pancreatology, 14, 6, 2014 | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Pancreatology, 14(6), pp.530-535; 2014 |