Safety of performing distal pancreatosplenectomy in patients who underwent distal gastrectomy previously: a multicenter cohort analysis with systematic literature review

• DOI: 10.4174/astr.2022.103.3.145
• Publication Date: 2022-09-16T04:06:55Z
• Authors: Sung Eun Park; Kwang Yeol Paik; Dong Do You; Tae Yoon Lee; Kee-Hwan Kim; Gun Hyung Na; Jung Hyun Park; Tae Ho Hong
• Keywords: Left gastric artery

In patients who have previously undergone subtotal gastrectomy (STG), the remnant stomach is supplied with arterial blood through splenic artery. It currently unclear whether can be safely preserved when performing distal pancreatosplenectomy (DPS) in these patients. Thus, this study aimed to evaluate safety and feasibility of DPS had a previous STG.A multicenter cohort was performed identify underwent DPS. Electronic medical data Clinical Data Warehouse from 7 representative high-volume centers 5 cities were retrospectively reviewed. A propensity score-matched analysis match no history upper abdominal surgery STG.Fourteen STG (STG group) studied matched 70 without any (non-STG group). All group preserved. most patients, vessel supplying left inferior phrenic There significant difference incidence stomach-related complications or length hospital stay between 2 groups.Our results suggest that could prior STG. However, it necessary carefully vascular structure preoperative imaging closely observe changes blue during operation.