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Peritoneal “pillowcase” for the displaced spleen post‐distal pancreatectomy
Author(s) -
Appu Sree,
Young Amanda B.,
Lawrentschuk Nathan
Publication year - 2005
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-005-1011-2
Subject(s) - spleen , medicine , distal pancreatectomy , pancreatectomy , surgery , splenectomy , pancreas
Abstract Background purpose Spleen‐preserving distal pancreatectomy, although rarely performed, has become an option for treatment of distal pancreatic neoplasms. However, the spleen, once mobilised, is often free to tort. A reliable method of fixing the spleen would be a useful adjunct to this procedure. Methods We describe the use of a new technique to fix the spleen using a peritoneal “pillowcase” to envelop the spleen, thus preventing its torsion. Results This patient has done well, with no problems encountered intraoperatively or postoperatively, using this new technique of spleen fixation. Conclusions The use of a peritoneal “pillowcase” to envelope the spleen following distal pancreatectomy has proven a useful adjunct to this somewhat difficult surgical procedure. It may be applied in other cases where spleen fixation is necessary.