title: Laparoscopic spleen-preserving distal pancreatectomy (LSPDP).
abstract: OBJECTIVE
  To study the feasibility and safety of laparoscopic spleen-preserving distal pancreatectomy (LSPDP).
  
  
  METHODS
  Four patients underwent attempted LSPDP from February 2008 to April 2010 in our department and their clinical data and outcome were reviewed retrospectively.
  
  
  RESULTS
  A total of 4 laparoscopic distal pancreas resections were attempted for 3 female and 1 male patient. All of these operations were successful with an average operative time of 235 min (range 115-305 min) and average blood loss of 200mL (range 100-450mL). The mean hospital stay time was 12.8 days, ranging from 10 to 21 days. Pancreatic fistula occurred in 1 patient then cured by extending drainage. Postoperative pathological examination showed those 2 cases of serous cystadenoma, 1 case of mucinous cystadenoma and 1 case of insulinoma, respectively.
  
  
  CONCLUSIONS
  LSPDP is minimally invasive, safe and feasible for the management of benign pancreatic tail tumors with the advantages of earlier recovery and less morbidity from complications.
authors.affiliation: Department of Hepatopancreatobiliary Surgery, Subei People's Hospital, Yangzhou, Jiangsu, China.
authors.forename: Xiangmin
authors.initials: X
authors.lastname: Ding
authors.forename: Jingwang
authors.initials: J
authors.lastname: Tan
authors.forename: Jianjun
authors.initials: J
authors.lastname: Qian
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D018291:Cystadenoma, Mucinous / Q000601:surgery*; D018293:Cystadenoma, Serous / Q000601:surgery*; D004322:Drainage; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments / Q000009:adverse effects; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013154:Spleen / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome