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
- 2008.12
- 수록면
- 276 - 283 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this study is to compare the clinical results of spleen preserving laparoscopic distal pancreatectomy (SPLDP) with en bloc laparoscopic distal pancreatectomy (LDP).
Methods: From March 2005 to August 2008, 52 cases of SPLDP and 84 LDPs were performed at our institution and we retrospectively compared these cases. The enrollment period were chronologically divided to four eras of 10.5 months each.
Results: The demographics, including the patients’ age, gender and BMI, were not different between the two groups. The final pathologic diagnosis was diverse, and it included cystic tumor, SPT, IPMT, cancer, endocrine tumor, etc and there was no difference between the two groups. The tumor location, operative time, tumor size, perioperative transfusion requirement, the length of the hospital stay and the postoperative complications were not different between the two groups. The mean operative time was gradually shortened by eras (Era 1: 236.3 min, Era 2: 223.6 min, Era 3: 188.8 min, Era 4: 187.9 min) and the proportion of SPLDP was increased by eras from 1.9% to 9.6%, 42.3% and 46.2%, respectively.
Conclusion: SPLDP might be technically more difficult than LDP, and especially in the initial learning stage of performing laparoscopic pancreatic surgery. After overcoming the learning curve, SPLDP can be performed safely and possibly within a shorter time. SPLDP should be tried whenever possible so that the patients get the maximal benefits of minimal invasive surgery and especially for resecting the more distal pancreatic lesions.
Methods: From March 2005 to August 2008, 52 cases of SPLDP and 84 LDPs were performed at our institution and we retrospectively compared these cases. The enrollment period were chronologically divided to four eras of 10.5 months each.
Results: The demographics, including the patients’ age, gender and BMI, were not different between the two groups. The final pathologic diagnosis was diverse, and it included cystic tumor, SPT, IPMT, cancer, endocrine tumor, etc and there was no difference between the two groups. The tumor location, operative time, tumor size, perioperative transfusion requirement, the length of the hospital stay and the postoperative complications were not different between the two groups. The mean operative time was gradually shortened by eras (Era 1: 236.3 min, Era 2: 223.6 min, Era 3: 188.8 min, Era 4: 187.9 min) and the proportion of SPLDP was increased by eras from 1.9% to 9.6%, 42.3% and 46.2%, respectively.
Conclusion: SPLDP might be technically more difficult than LDP, and especially in the initial learning stage of performing laparoscopic pancreatic surgery. After overcoming the learning curve, SPLDP can be performed safely and possibly within a shorter time. SPLDP should be tried whenever possible so that the patients get the maximal benefits of minimal invasive surgery and especially for resecting the more distal pancreatic lesions.
목차
서론
대상 및 방법
결과
고찰
결론
참고문헌
참고문헌 (29)
참고문헌 신청
1. [학술지(정기간행물)] - Min SK / 2003 / Laparoscopic Spleen Preserving Distal Pancreatectomy with the Conservation of the Splenic Artery and the Vein / J Korean Surg Soc 64 : 521 ~ 525
2. [학술지(정기간행물)] - Uranues S / 2006 / Laparoscopic resection of the pancreatic tail with splenic preservation / Am J Surg 192 : 257 ~ 261
3. [학술지(정기간행물)] - Fernandez-Cruz L / 2005 / Minimally invasive surgery of the pancreas in progress / Langenbecks Arch Surg 390 : 342 ~ 354
4. [학술지(정기간행물)] - Han HS / 2005 / Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm / Surg Endosc 19 : 1367 ~ 1369
5. [학술지(정기간행물)] - Sasaki A / 2008 / Laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein: Report of three cases / Surg Today 38 : 955 ~ 958
2. [학술지(정기간행물)] - Uranues S / 2006 / Laparoscopic resection of the pancreatic tail with splenic preservation / Am J Surg 192 : 257 ~ 261
3. [학술지(정기간행물)] - Fernandez-Cruz L / 2005 / Minimally invasive surgery of the pancreas in progress / Langenbecks Arch Surg 390 : 342 ~ 354
4. [학술지(정기간행물)] - Han HS / 2005 / Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm / Surg Endosc 19 : 1367 ~ 1369
5. [학술지(정기간행물)] - Sasaki A / 2008 / Laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein: Report of three cases / Surg Today 38 : 955 ~ 958
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UCI(KEPA) : I410-ECN-0101-2014-514-001253970