The impact of splenectomy on outcomes after distal and total pancreatectomy

Ilias Koukoutsis; Appou Tamijmarane; Riccardo Bellagamba; Simon Bramhall; John Buckels; Darius Mirza

doi:10.1186/1477-7819-5-61

The impact of splenectomy on outcomes after distal and total pancreatectomy

Ilias Koukoutsis, Appou Tamijmarane, Riccardo Bellagamba, Simon Bramhall, John Buckels, Darius Mirza

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19 Citations (Scopus)

Abstract

BACKGROUND: Several authors advocate spleen preserving distal pancreatectomy, because of the increased complication rate after splenectomy.

METHODS: Postoperative complications and survival after distal and total pancreatectomy, were recorded and retrospectively analyzed according to spleen preservation. Patients, who underwent distal and total pancreatectomy without histologically proven adenocarcinoma, or extrapancreatic disease, were included in the cohort which was divided into splenectomy and no splenectomy groups. Statistical analysis was performed using Fisher's test.

RESULTS: The study group consisted of 62 patients who underwent distal and total pancreatectomy between 26/11/1987 to 6/1/2006. Splenectomy was performed in 35 out of 62 patients (56.5%), distal pancreatectomy was performed in 49 out of 62 patients (79%). Morbidity rate was 28.6% in splenectomy group and 14.8% in the no splenectomy group (p = 0.235), while 30 days mortality rate was 2.9%; one patient died in the splenectomy group (p = 1).

CONCLUSION: Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.

Original language	English
Pages (from-to)	61
Journal	World Journal of Surgical Oncology
Volume	5
DOIs	https://doi.org/10.1186/1477-7819-5-61
Publication status	Published - 2007

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title = "The impact of splenectomy on outcomes after distal and total pancreatectomy",

abstract = "BACKGROUND: Several authors advocate spleen preserving distal pancreatectomy, because of the increased complication rate after splenectomy.METHODS: Postoperative complications and survival after distal and total pancreatectomy, were recorded and retrospectively analyzed according to spleen preservation. Patients, who underwent distal and total pancreatectomy without histologically proven adenocarcinoma, or extrapancreatic disease, were included in the cohort which was divided into splenectomy and no splenectomy groups. Statistical analysis was performed using Fisher's test.RESULTS: The study group consisted of 62 patients who underwent distal and total pancreatectomy between 26/11/1987 to 6/1/2006. Splenectomy was performed in 35 out of 62 patients (56.5%), distal pancreatectomy was performed in 49 out of 62 patients (79%). Morbidity rate was 28.6% in splenectomy group and 14.8% in the no splenectomy group (p = 0.235), while 30 days mortality rate was 2.9%; one patient died in the splenectomy group (p = 1).CONCLUSION: Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.",

author = "Ilias Koukoutsis and Appou Tamijmarane and Riccardo Bellagamba and Simon Bramhall and John Buckels and Darius Mirza",

year = "2007",

doi = "10.1186/1477-7819-5-61",

language = "English",

volume = "5",

pages = "61",

journal = "World Journal of Surgical Oncology",

issn = "1477-7819",

publisher = "Springer",

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TY - JOUR

T1 - The impact of splenectomy on outcomes after distal and total pancreatectomy

AU - Koukoutsis, Ilias

AU - Tamijmarane, Appou

AU - Bellagamba, Riccardo

AU - Bramhall, Simon

AU - Buckels, John

AU - Mirza, Darius

PY - 2007

Y1 - 2007

N2 - BACKGROUND: Several authors advocate spleen preserving distal pancreatectomy, because of the increased complication rate after splenectomy.METHODS: Postoperative complications and survival after distal and total pancreatectomy, were recorded and retrospectively analyzed according to spleen preservation. Patients, who underwent distal and total pancreatectomy without histologically proven adenocarcinoma, or extrapancreatic disease, were included in the cohort which was divided into splenectomy and no splenectomy groups. Statistical analysis was performed using Fisher's test.RESULTS: The study group consisted of 62 patients who underwent distal and total pancreatectomy between 26/11/1987 to 6/1/2006. Splenectomy was performed in 35 out of 62 patients (56.5%), distal pancreatectomy was performed in 49 out of 62 patients (79%). Morbidity rate was 28.6% in splenectomy group and 14.8% in the no splenectomy group (p = 0.235), while 30 days mortality rate was 2.9%; one patient died in the splenectomy group (p = 1).CONCLUSION: Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.

AB - BACKGROUND: Several authors advocate spleen preserving distal pancreatectomy, because of the increased complication rate after splenectomy.METHODS: Postoperative complications and survival after distal and total pancreatectomy, were recorded and retrospectively analyzed according to spleen preservation. Patients, who underwent distal and total pancreatectomy without histologically proven adenocarcinoma, or extrapancreatic disease, were included in the cohort which was divided into splenectomy and no splenectomy groups. Statistical analysis was performed using Fisher's test.RESULTS: The study group consisted of 62 patients who underwent distal and total pancreatectomy between 26/11/1987 to 6/1/2006. Splenectomy was performed in 35 out of 62 patients (56.5%), distal pancreatectomy was performed in 49 out of 62 patients (79%). Morbidity rate was 28.6% in splenectomy group and 14.8% in the no splenectomy group (p = 0.235), while 30 days mortality rate was 2.9%; one patient died in the splenectomy group (p = 1).CONCLUSION: Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.

U2 - 10.1186/1477-7819-5-61

DO - 10.1186/1477-7819-5-61

M3 - Article

C2 - 17543130

SN - 1477-7819

VL - 5

SP - 61

JO - World Journal of Surgical Oncology

JF - World Journal of Surgical Oncology

ER -

The impact of splenectomy on outcomes after distal and total pancreatectomy

Abstract

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