지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.6
- 수록면
- 564 - 569 (6page)
- DOI
- 10.3349/ymj.2022.63.6.564
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초록· 키워드
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Purpose: In the past, spleen preservation during distal pancreatectomy (DP) was preferred; however, more recent studies reportedcomparable results between splenectomy and spleen preserving. We retrospectively reviewed patients in a single center whounderwent laparoscopic DP with/without splenectomy, and evaluated the chronologic changes of surgical outcomes of the twoprocedures.
Materials and Methods: Patients who underwent laparoscopic DP with or without splenectomy due to benign/borderline tumorfrom 2005 to 2019 were included in this study. We divided this period into Era 1 (2005–2012) and Era 2 (2013–2019), and comparedthe chronological evolution of surgical outcomes of laparoscopic distal pancreatosplenectomy (LDPS) to those of laparoscopicspleen-preserving distal pancreatectomy (LSpDP), including the long-term postoperative immunologic profiles.
Results: A total of 198 cases were included (LSpDP: 80 cases; LDPS: 118 cases). As the period changed from Era 1 to Era 2, the ratioof LSpDP decreased and the surgical outcomes of LDPS improved. In Era 1, LSpDP group showed superior results comparedto LDPS group in terms of hospital days and postoperative pancreatic fistula ratio; however, in Era 2, the surgical outcomesshowed no statistical differences. No significant differences were observed in all of the immunologic markers.
Conclusion: We carefully conclude that during laparoscopic DP, combined splenectomy can be equivalent to spleen preservingin surgical and immunological outcomes, and inevitable splenectomy can be safely conducted.
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