title: Spleen-preserving distal pancreatectomy combined with distal gastrectomy for distal pancreatic lesion and gastric cancer: Report of a case.
abstract: Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein was recently devised as a feasible operation. We report the case of a patient who underwent spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein, combined with distal gastrectomy, for gastric cancer and a distal pancreatic lesion. Thus, unnecessary total gastrectomy was avoided. The operative blood loss and operative time were 630 ml and 465 min, respectively. The patient's postoperative course was complicated by a minor pancreatic fistula, which required daily irrigation and drainage, but she recovered and was discharged from hospital. This case report demonstrates that spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein combined with distal gastrectomy can be performable synchronously and is a feasible alternative to avoid unnecessary total gastrectomy.
authors.affiliation: Gastroenterology Center, Yokohama City University Medical Center, 4-57 Urafune, Minami, Yokohama, Kanagawa, 232-0024, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Otsuka
authors.forename: Chikara
authors.initials: C
authors.lastname: Kunisaki
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Ono
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sato
authors.forename: Roppei
authors.initials: R
authors.lastname: Yamada
authors.forename: Kazuya
authors.initials: K
authors.lastname: Sugimori
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Tanaka
authors.forename: Toshio
authors.initials: T
authors.lastname: Imada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shimada
mesh_terms: D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013154:Spleen / Q000098:blood supply* / Q000000981:diagnostic imaging; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed