Splenic preservation versus splenectomy in laparoscopic distal pancreatectomy: a propensity score-matched study.

Moekotte, Alma L and Lof, Sanne and White, Steve A and Marudanayagam, Ravi and Al-Sarireh, Bilal and Rahman, Sakhanat and Soonawalla, Zahir and Deakin, Mark and Aroori, Somaiah and Ammori, Basil and Gomez, Dhanny and Marangoni, Gabriele and Abu Hilal, Mohammed (2019) Splenic preservation versus splenectomy in laparoscopic distal pancreatectomy: a propensity score-matched study. Surgical endoscopy. ISSN 1432-2218. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

Full text not available from this repository.
Official URL: https://link.springer.com/article/10.1007%2Fs00464...

Abstract

BACKGROUND

The laparoscopic approach in distal pancreatectomy is associated with higher rates of splenic preservation compared to open surgery. Although favorable postoperative short-term outcomes have been reported in open spleen-preserving distal pancreatectomy when compared to distal pancreatectomy with splenectomy, it is unclear whether this observation applies to the laparoscopic approach. The aim of this study is to compare laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with laparoscopic distal pancreatectomy with splenectomy (LDPS).

STUDY DESIGN

This is a UK wide, propensity score-matched study, including patients who underwent LSPDP or LDPS between 2006 and 2016. Short-term outcomes were compared between LSPDP and LDPS according to intention to treat. Additionally, risk factors for unplanned splenectomy were explored.

RESULTS

A total of 456 patients were included from eleven centers (229 LSPDP and 227 LDPS). We were able to match 173 LSPDP cases to 173 LDPS cases, according to intention to treat. No differences were seen in postoperative morbidity between the groups. The only identified risk factor for unplanned splenectomy was tumor size ≥ 30 mm.

CONCLUSIONS

Preserving the spleen during laparoscopic distal pancreatectomy is not associated with a lower postoperative morbidity compared to sacrificing the spleen. Tumor size is a risk factor for unplanned splenectomy.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WO Surgery
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 28 Jun 2019 14:56
Last Modified: 28 Jun 2019 14:56
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/2197

Actions (login required)

View Item View Item