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Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Lantsynova A.V.

Botkin Moscow City Clinical Hospital

Abramov K.A.

Botkin Moscow City Clinical Hospital

Spleen-preserving total pancreatectomy for low-grade tumors

Authors:

Shabunin A.V., Bedin V.V., Tavobilov M.M., Karpov A.A., Lantsynova A.V., Abramov K.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(2): 5‑12

DOI: 10.17116/hirurgia20230215

Views: 1173

Downloaded: 30

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Table of contents

To cite this article:

Shabunin AV, Bedin VV, Tavobilov MM, Karpov AA, Lantsynova AV, Abramov KA. Spleen-preserving total pancreatectomy for low-grade tumors. Pirogov Russian Journal of Surgery. 2023;(2):5‑12. (In Russ.)
https://doi.org/10.17116/hirurgia20230215

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To justify organ-preserving variants of total pancreatectomy.

MATERIAL AND METHODS

We retrospectively analyzed the results of classic and modified total pancreatectomy between September 2010 and March 2021. Implementing pylorus-sparing total pancreatectomy with preservation of stomach, spleen, gastric and splenic vessels, we thoroughly analyzed exocrine/endocrine disorders after total pancreatectomy and changes in immune status after splenectomy. Serum C-reactive protein and ferritin were assessed in 1, 3, 5, 7, 14 and 30 days after surgery in both groups. We also estimated daily glycemic profile after total pancreatectomy in classical and organ-preserving modifications.

RESULTS

We performed 37 total pancreatectomies including 12 pylorus-preserving total pancreatectomies with preservation of stomach, spleen, gastric and splenic vessels. General and specific postoperative complication rate was significantly lower after modified surgery compared to classic total pancreatectomy with gastric resection and splenectomy.

CONCLUSION

Modified total pancreatectomy is preferable for low-grade pancreatic tumors.

Keywords:

total pancreatectomy
pancreatic tumors
stomach-preserving surgery
spleen-preserving surgery

Authors:

Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Lantsynova A.V.

Botkin Moscow City Clinical Hospital

Abramov K.A.

Botkin Moscow City Clinical Hospital

Received:

28.07.2022

Accepted:

07.08.2022

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