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World Journal of Gastroenterology 2014年第14期20卷 4030-4036页

作者： Gianpaolo Balzano Michele Carvello Lorenzo Piemonti Rita Nano Riccardo Ariotti Alessia Mercalli Raffaella Melzi Paola Maffi Marco Braga Carlo Staudacher Department of Surgery San Raffaele Research Institute Division of Immunology Transplantationand Infectious Diseases-Diabetes Research InstituteIslet Processing ActivitySan Raffaele Research Institute

AIM: To evaluate the safety and feasibility of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with autologous islet transplantation (AIT) for benign tumors of the pancreatic body-neck.

关键词： Pancreas Benign neoplasm Laparoscopy Minimally invasive treatment spleen preservation Pancreatogenic diabetes Autologous islet transplantation

Role of 3DCT in laparoscopic total gastrectomy with spleen-preserving splenic lymph node dissection

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World Journal of Gastroenterology 2014年第16期20卷 4797-4805页

作者： Jia-Bin Wang Chang-Ming Huang Chao-Hui Zheng Ping Li Jian-Wei Xie Jian-Xian Lin Jun Lu Department of Gastric Surgery Fujian Medical University Union Hospital

AIM: To investigate whether computed tomography with 3D imaging (3DCT) can reduce the risks associated with laparoscopic surgery.

关键词： Stomach neoplasms spleen preservation Laparoscopy Lymph node dissection Computed tomography angiography with three-dimensional imaging

Values of spleen-preserving distal pancreatectomy in well-differentiated non-functioning pancreatic neuroendocrine tumors:a comparative study

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Gastroenterology Report 2022年第1期10卷 513-518页

作者： Xi-Tai Huang Jin-Zhao Xie Jian-Peng Cai Peng Fang Chen-Song Huang Wei Chen Li-Jian Liang Xiao-Yu Yin Department of Pancreato-Biliary Surgery The First Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China

Background The feasibility of spleen-preserving distal pancreatectomy(SPDP)to treat well-differentiated non-functioning pancreatic neuroendocrine tumors(NF-pNETs)located at the body and/or tail of the pancreas remains *** pancreatectomy with splenectomy(DPS)has been widely applied in the treatment of NF-pNETs;however,it may increase the post-operative *** study aimed to evaluate whether SPDP is inferior to DPS in post-operative outcomes and survivals when being used to treat patients with NF-pNETs in our *** Clinicopathological features of patients with NF-pNETs who underwent curative SPDP or DPS at the First Affiliated Hospital of Sun Yat-sen University(Guangzhou,China)between January 2010 and January 2022 were ***-term outcomes and 5-year survivals were compared between patients undergoing SPDP and those undergoing *** Sixty-three patients(SPDP,27;DPS,36)with well-differentiated NF-pNETs were *** patients had grade 1/2 *** identifying patients with T1–T2 NF-pNETs(SPDP,27;DPS,15),there was no disparity between the SPDP and DPS groups except for tumor size(median,1.4 vs 2.6 cm,P=0.001).There were no differences in operation time(median,250 vs 295 min,P=0.478),intraoperative blood loss(median,50 vs 100 mL,P=0.145),post-operative major complications(3.7%vs 13.3%,P=0.287),clinically relevant post-operative pancreatic fistula(22.2%vs 6.7%,P=0.390),or post-operative hospital stays(median,9 vs 9 days,P=0.750)between the SPDP and DPS ***–Meier curve showed no significant differences in the 5-year overall survival rate(100%vs 100%,log-rank P>0.999)or recurrence-free survival(100%vs 100%,log-rank P>0.999)between patients with T1–T2 NF-pNETs undergoing SPDP and those undergoing *** In patients with T1–T2 well-differentiated NF-pNETs,SPDP could achieve comparable post-operative outcomes and prognosis compared with DPS.

关键词： pancreatic neuroendocrine tumor distal pancreatectomy spleen preservation prognosis

spleen-preserving distal pancreatectomy from multi-port to reducedport surgery approach

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World Journal of Gastrointestinal Surgery 2023年第7期15卷 1501-1511页

作者： Ching-Lung Hsieh Tung-Sheng Tsai Cheng-Ming Peng Teng-Chieh Cheng Yi-Jui Liu Department of Computer Science and Information Engineering Feng Chia UniversityTaichung 40724TaiwanChina Department of Surgery Chung Shan Medical University HospitalTaichung 40201TaiwanChina PhD Program of Electrical and Communications Engineering Feng Chia UniversityTaichung 40724Taiwan School of Medicine Chung Shan Medical UniversityTaichung 40201Taiwan Da Vinci Minimally Invasive Surgery Center Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Automatic Control Engineering Feng Chia UniversityTaichung 407Taiwan

BACKGROUND Minimally invasive pancreatic surgery via the multi-port approach has become a primary surgical method for distal pancreatectomy(DP)due to its advantages of lower wound pain and superior cosmetic *** studies have applied reduced-port techniques for DP in an attempt to enhance cosmetic outcomes due to the minimally invasive *** recent review studies have compared multi-port laparoscopic DP(LDP)and multi-port robotic DP(RDP);most of these studies concluded multi-port RDP is more beneficial than multi-port LDP for spleen ***,there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port *** To search for and review the studies on spleen preservation and the clinical outcomes of minimally invasive DP that compared reduced-port DP surgery with multi-port DP *** The PubMed medical database was searched for articles published between 2013 and *** search terms were implemented using the following Boolean search algorithm:(“distal pancreatectomy”OR“left pancreatectomy”OR“peripheral pancreatic resection”)AND(“reduced-port”OR“single-site”OR“single-port”OR“dual-incision”OR“single-incision”)AND(“spleen-preserving”OR“spleen preservation”OR“splenic preservation”).A literature review was conducted to identify studies that compared the perioperative outcomes of reduced-port LDP and reduced-port *** Fifteen articles published in the period from 2013 to 2022 were retrieved using three groups of search *** studies were added after manually searching the related ***,10 papers were selected after removing case reports(n=3),non-English language papers(n=1),technique papers(n=1),reviews(n=1),and animal studies(n=1).The common items were defined as items reported in more than five papers,and data on these common items were extracted from all *** ten studies included a total of 337 patients(females/males:231/106)who underwent *** total,166 patients(females/male

关键词： Minimally invasive surgery Robotic distal pancreatectomy Laparoscopic distal pancreatectomy spleen preservation Reduced-port Multi-port

spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein

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World Journal of Gastroenterology 2007年第10期13卷 1493-1499页

作者： Wataru Kimura Toshiyuki Moriya Jinfeng Ma Yukinori Kamio Toshihiro Watanabe Mitsukiro Yano Hiroto Fujimoto Koji Tezuka Ichiro Hirai Akira Fuse Gastroenterological and General Surgery (First Department of Surgery)Yamagata University School of Medicine2-2-2 Iida-NishiYamagata CityYamagata 990-9585Japan

PreservaUon of the spleen at distal pancreatectomy has recently attracted considerable attention. Since our first successful trial, spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein for tumors of the pancreas and chronic pancreatitis has been performed more frequently. The technique for spleenpreserving distal pancreatectomy with conservation of the splenic artery and vein are outlined. The splenic vein is identified behind the pancreas and within the thin connective tissue membrane. The connective tissue membrane is cut longitudinally above the splenic vein. An important issue is to remove the splenic vein from the body of the pancreas toward the spleen, since a different approach may be very difficult. The pancreas is preferably removed from the splenic artery toward the head of the pancreas itself. This procedure is much easier than removing the pancreas from the vein side. One patient had undergone distal gastrectomy for duodenal ulcer, with reconstruction by Billroth Ⅱ tehcnique. If distal pancreatectomy with splenectomy had been performed for the lesion of the distal pancreas at the time, the residual stomach would also have to be resected. The potential damage done to the patient by reconstruction of the gastrointestinal tract in combination with distal pancreatectomy and splenectomy would have been much greater than with distal pancreatectomy only with preservation of the spleen and residual stomach. Benign lesions as well as low-grade malignancy of the body and tail of the pancreas may be a possible indication for this procedure.

关键词： spleen preservation Intraductal Papillary-Mucinous Neoplasm Splenic artery Splenic vein The fusion fascia of Treitz and Toldt

Ultrasound guided percutaneous treatment for splenic abscesses: The signifi cance in treatment of critically ill patients

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World Journal of Gastroenterology 2006年第45期12卷 7341-7345页

作者： Enver Zerem Jacob Bergsland Interventional Ultrasonography Department University Clinical Centar Tuzla Bosnia and Herzegovina

AIM: To analyze the results of ultrasound guided percu- taneous needle aspiration (PNA) and percutaneous catheter drainage (PCD) in the treatment of splenic abscess. METHODS: Thirty-six patients (14 females and 22 males, with an average age of 54.1 ± 14.1 years) with splenic abscess were treated with ultrasound guided PNA and/or PCD. Patients with splenic abscess preservation of the spleen. This treatment is especially indicative for the patients in critical condition postoperatively. We recommend PNA as primary treatment for splenic abscesses < 50 mm, and PCD for those ≥ 50 mm in diameter and for bilocular abscesses.

关键词： Interventional ultrasound Needle aspiration Catheter drainage spleen preservation

Huang's three-step maneuver for laparoscopic spleen-preserving No.10 lymph node dissection for advanced proximal gastric cancer

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Chinese Journal of Cancer Research 2014年第2期26卷 208-210页

作者： Chang-Ming Huang Qi-Yue Chen Jian-Xian Lin Chao-Hui Zheng Ping Li Jian-Wei Xie Department of Gastric Surgery Fujian Medical University Union Hospital

Due to the complexity of the splenic hilar vessels, their anatomical variation and the narrow and deep space, as well as the bleeding-prone splenic parenchyma and the difficulty to manage splenic or vascular bleeding at the splenic hilum,the procedure remains challenging and technically demanding procedure for the performance of laparoscopic pancreas- and spleen-preserving splenic hilar lymph nodes dissection. Based on our experiences, we gradually explored a set of procednral operation steps called ＂Huang＇s three-step maneuver＂. In this paper, we not only provide the concrete operation steps for the surgeon, but we also provide our recommended technique of pulling and exposure for assistants. This new maneuver simplifies the complicated procedure and improves the efficiency of laparoscopic spleen-preserving splenic hilar lymphadenectomy, making it easier to master and allowing for its widespread adoption.

关键词： Stomach neoplasms spleen preservation laparoscopy lymph node dissection