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Verfasst von:Müller, Philip C. [VerfasserIn]   i
 Müller, Sascha A. [VerfasserIn]   i
 Steinemann, Daniel [VerfasserIn]   i
Titel:Case-matched study of lesser versus greater curvature approach in laparoscopic Warshaw pancreatectomy
Verf.angabe:Philip C. Müller, Sascha A. Müller, Daniel C. Steinemann, Michael S. Pärli, Felix Moltzahn, Stefan W. Schmid, Kaspar Z'graggen
Jahr:2017
Jahr des Originals:2016
Umfang:7 S.
Fussnoten:Available online 21 July 2016 ; Gesehen am 09.08.2018
Titel Quelle:Enthalten in: The American journal of surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1926
Jahr Quelle:2017
Band/Heft Quelle:213(2017), 4, Seite 711-717
ISSN Quelle:1879-1883
Abstract:Background In laparoscopic distal pancreatectomy (LapDP), the pancreas is accessed in a greater curvature approach (GCA). The lesser curvature approach (LCA) has been proposed in underweight patients. The study investigated the feasibility of LCA irrespective of the body mass index (BMI). Methods This retrospective study included consecutive patients scheduled to undergo LapDP with the LCA. A matched cohort (1:1) underwent GCA. Spleen preservation was performed using the Warshaw technique. Splenic perfusion was intraoperatively assessed by indocyanine green (ICG) angiography. Results The LCA with LapDP was successful in 12/15 patients. In 2 cases, LCA had to be converted to GCA and in 1 patient to open surgery. The cohorts were well matched in sex (P = 1.0), age (P = .67), indication (P = 1.0), and median BMI (23.4 kg/m2 vs 24.8 kg/m2, P = .41). Splenic preservation was achieved in 14/15 patients with LCA and 4/15 patients with GCA (P = .33). In all LCA cases, ICG angiography indicated sufficient spleen perfusion. The groups had similar morbidity (P = 1.0) and hospital stay (P = .74). Conclusions LCA was feasible in 80% irrespective of BMI and provided an excellent field of exposure. ICG angiography was feasible in the Warshaw technique. Its reliability should be evaluated in prospective studies.
DOI:doi:10.1016/j.amjsurg.2016.05.015
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.amjsurg.2016.05.015
 Volltext: http://www.sciencedirect.com/science/article/pii/S0002961016303518
 DOI: https://doi.org/10.1016/j.amjsurg.2016.05.015
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:ICG
 Laparoscopic distal pancreatectomy
 Laparoscopic pancreatic techniques
 Lesser curvature approach
 Splenic perfusion
 Splenic preservation
K10plus-PPN:1578422000
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