With the maturation of laparoscopic surgical technology and the development of surgical instruments,the scope of application for laparoscopie surgery has expanded constantly in recent years.It is now possible to perform total laparoscopic distal pancreatectomy (TLDP).Cuschieri succeeded in performing laparoscopic distal pancreatectomy and slpenectomy in 1996,and in the same year,Kimura successfully performed spleen-preserving laparoscopic distal pancreatectomy.However,few successful spleen-preserving TLDP cases have been reported domestically or abroad.We made a success in a case of spleenpreserving TLDP with preservation of the splenic artery and vein in 2011,and the experiences of this surgical approach were introduced.

作者：王文杰；王磊；胡晓华；张明

来源：中华消化外科杂志 2012 年 11卷 2期