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Title: Laparoscopic Distal Pancreatectomy with or without Preservation of the Spleen for Solid Pseudopapillary Neoplasm.
Authors: Hori, Tomohide
Masui, Toshihiko  kyouindb  KAKEN_id  orcid (unconfirmed)
Kaido, Toshimi
Ogawa, Kohei
Yasuchika, Kentaro
Yagi, Shintaro  kyouindb  KAKEN_id  orcid (unconfirmed)
Seo, Satoru  kyouindb  KAKEN_id
Takaori, Kyoichi  kyouindb  KAKEN_id
Mizumoto, Masaki
Iida, Taku
Fujimoto, Yasuhiro
Uemoto, Shinji
Author's alias: 八木, 真太郎
Issue Date: 2015
Publisher: Hindawi Publishing Corporation
Journal title: Case reports in surgery
Volume: 2015
Thesis number: 487639
Abstract: Solid pseudopapillary neoplasm (SPN) is a rare tumor of the pancreas. Laparoscopic distal pancreatectomy (DP) is a feasible and safe procedure, and successful spleen preservation rates are higher using a laparoscopic approach. We hypothesized that certain patients with SPN would be good candidates for laparoscopic surgery; however, few surgeons have reported laparoscopic DP for SPN. We discuss the preoperative assessment and surgical simulation for two SPN cases. A simulation was designed because we consider that a thorough preoperative understanding of the procedure based on three-dimensional image analysis is important for successful laparoscopic DP. We also discuss the details of the actual laparoscopic DP with or without splenic preservation that we performed for our two SPN cases. It is critical to use appropriate instruments at appropriate points in the procedure; surgical instruments are numerous and varied, and surgeons should maximize the use of each instrument. Finally, we discuss the key techniques and surgical pitfalls in laparoscopic DP with or without splenic preservation. We conclude that experience alone is inadequate for successful laparoscopic surgery.
Rights: © 2015 Tomohide Hori et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI(Published Version): 10.1155/2015/487639
PubMed ID: 26587305
Appears in Collections:Journal Articles

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