Impact of Splenectomy on Pancreatectomy Outcomes
Author Information
Author(s): Koukoutsis Ilias, Tamijmarane Appou, Bellagamba Riccardo, Bramhall Simon, Buckels John, Mirza Darius
Primary Institution: Hepatobiliary and Liver Transplant Unit, Queen Elizabeth Hospital, Birmingham, UK
Hypothesis
Does spleen preservation affect outcomes after distal and total pancreatectomy?
Conclusion
Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.
Supporting Evidence
- Splenectomy was performed in 35 out of 62 patients (56.5%).
- Morbidity rate was 28.6% in the splenectomy group and 14.8% in the no splenectomy group.
- 30 days mortality rate was 2.9%; one patient died in the splenectomy group.
Takeaway
Removing the spleen during pancreas surgery doesn't seem to change how well patients do afterward.
Methodology
Retrospective analysis of postoperative complications and survival in patients who underwent distal and total pancreatectomy with or without splenectomy.
Potential Biases
Potential selection bias due to exclusion criteria.
Limitations
The study was limited by its retrospective design and small sample size.
Participant Demographics
30 males (48.4%) and 32 females (51.6%), median age 52 years (range 22–87).
Statistical Information
P-Value
0.235
Statistical Significance
p = 0.235
Digital Object Identifier (DOI)
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