The detail of the en bloc technique and prognosis of spleen-preserving laparoscopic distal pancreatectomy for XXXX .

@entity1 @entity788 @entity190 @entity5 @entity3472 @entity1104
BACKGROUND: Although laparoscopic spleen-preserving distal pancreatectomy surgery is more and more popular, the reports about the en bloc technique used for @entity788 were still rare. The aim of our study was to illustrate the detail of the spleen-preserving en bloc technique as well as the short-term and long-term outcomes. METHODS: The detail of the en bloc technique with pictures was described. The prognosis of the successive 23 cases that underwent the laparoscopic distal pancreatectomy (LDP) surgery was evaluated. RESULTS: There were 17 cases that underwent spleen-preserving LDP while six cases underwent spleen-resecting LDP. The average surgery time was 203        54  min, and the average @entity190 volume was 208        264  ml; one case transferred to open surgery because of severe @entity1104 . The complication rate was 47  % (n   =   8) shortly after surgery. @entity3472 rate was 41  % (n   =   7). No lethal case occurred. The average diameter of the @entity5 was 32        12  mm. The average number of the lymph nodes obtained was 19.8        9.3. All the cutting edges were negative. Survival rates of the @entity1 after 1, 3, and 5  years are 64.7, 52.9, and 41.2  %, respectively. These records showed no statistical significance compared with spleen-resecting LDP and open distal pancreatectomy (ODP) surgeries. CONCLUSIONS: The en bloc spleen-preserving LDP can be performed by experienced surgeons. This surgery has good short-term and long-term outcomes.
