Spleen-preserving distal pancreatectomy with preservation of the splenic artery and vein for @entity5 ( XXXX ): three interesting cases.

@entity1 @entity788 @entity5115 @entity5409 @entity5 @entity1373 @entity1689 @entity652
Preservation of the spleen at distal pancreatectomy has recently attracted considerable attention. Since our first trial and success with spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein for @entity5 of the @entity1689 , this procedure has been performed more frequently. Three @entity1 with @entity5 underwent spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. In this procedure, the splenic vein is identified behind the @entity788 and the connective tissue membrane is cut longitudinally above the splenic vein. An important point is to remove the splenic vein from the @entity788 from the body of the @entity788 toward the spleen. In one @entity1 with @entity5 in the body of the @entity788 who had undergone distal gastrectomy for duodenal ulcer 32 years previously, residual proximal gastrectomy could be avoided with this procedure. In this case, the histological diagnosis was a pseudocyst, and @entity5115 was found in other pancreatic ductuli. In another case, epithelia were borderline between @entity1373 and @entity652 . In both of these cases, the histological diagnosis was different from the preoperative diagnosis. Even with advances in imaging techniques, diagnosis of a @entity5409 of the @entity788 is still very difficult. Ordinary distal pancreatectomy with splenectomy would have been oversurgery in these two cases, which could be avoided using our procedure. Severe complications were not found in any of the three cases and the postoperative course was uneventful. The @entity1 have been followed as outpatients without any recurrence. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein is easy and safe, and should be performed for some @entity1 with @entity5 of the @entity788 .
