PDF(Pubmed)
Abstract：
Distal pancreatectomy with splenectomy is considered the standard operation for pancreas tail and body cancer. However, splenectomy may be option for benign or low-grade malignant tumors including mucinous cystadenoma and intraductal papillary mucinous neoplasm. If spleen-preserving distal pancreatectomy (SPDP) with borderline lesion is performed and pancreas cancer is diagnosed on postoperative pathologic finding, if it is R0 resection, the necessity of additional splenectomy remains questionable. The authors would like report two clinical cases diagnosed as pancreatic cancer on postoperative pathology after SPDP and under observation without additional splenectomy.
摘要：
胰尾切除术和脾切除术被认为是胰尾和体癌的标准手术。然而,对于良性或低度恶性肿瘤，包括黏液性囊腺瘤和导管内乳头状黏液性肿瘤，可选择脾切除术。如果进行了保留脾脏的远端胰腺切除术（SPDP）并根据术后病理发现诊断为胰腺癌，如果是R0切除,额外的脾切除术的必要性仍然值得怀疑。作者希望报告两例SDP术后病理诊断为胰腺癌的临床病例，并且在没有额外脾切除术的情况下进行观察。
