From: Spleen-preserving pancreatectomy with removal of splenic vessels: impact on splenic parenchyma ?
WDP group | KDP group | p-value | ||||
---|---|---|---|---|---|---|
Early postoperative imaging (70%) | 40/51 (78%) | 21/36 (58%) | ||||
Delay surgery / early imaging, days (median, Q1 – Q3) | 72 (28–114) | 34 (28–86) | 0.196 | |||
Early splenic infarction - Grade 0 - Grade 1 - Grade 2 - Grade 3 | 19 (48%) 9 (23%) 3 (9%) 9 (23%) | 18 (86%) 3 (14%) 0 0 | 0.018 | |||
Early peripancreatic collection, n (%) | 24 (60%) | 18 (86%) | 0.039 | |||
Peripancreatic collection size, mm (median ± IQR) | 61 (± 29) | 43 (± 30) | 0.055 | |||
Late postoperative imaging (74%) | 35/51 (69%) | 29/36 (81%) | ||||
Delay surgery / late imaging, months (median ± IQR) | 7 (± 4) | 6 (± 3) | 0.429 | |||
Late perigastric varices, n (%) | 23 (66%) | 20 (69%) | 0.783 | |||
Splenic volume ratio, median (± IQR) | 0.92 (± 0.53) | 1.21 (± 0.41) | 0.054 | |||
Splenic atrophy (ratio < 0.70), n (%) | 10 (29%) | 0 | 0.002 | |||
Long-term (at last follow-up) spleen-related complications | ||||||
Gastric bleeding from perigastric varices | 0 | 0 | ||||
Splenectomy | 0 | 0 | ||||
Overwhelming post splenectomy infection | 0 | 0 |