@article{oai:yamagata.repo.nii.ac.jp:00004483, author = {Tezuka, Koji and Kimura, Wataru and Hirai, Ichiro and Watanabe, Toshihiro and Sugawara, Shuichiro and Fukumoto, Tsuyoshi and Okazaki, Shinji and Yano, Mitsuhiro and Hachiya, Osamu and Suzuki, Akihiko}, issue = {2}, journal = {山形大学紀要. 医学 : 山形医学, Bulletin of the Yamagata University. Medical science : Yamagata medical journal}, month = {Aug}, note = {論文(Article), Aim: There is a paucity of information about changes in splenic volume after surgery. The aim of this study was to investigate postoperative changes in splenic volume(SV)and the factors influencing SV after spleen-preserving distal pancreatectomy(SPDP)with conservation of the splenic artery and vein (CSAV), and after surgery of the digestive tract and breast. Methods: We investigated 113 patients who underwent SPDP with CSAV(n=7), breast surgery (n=24), colorectal surgery(n=45), distal gastrectomy(n=27)and total gastrectomy(n=10). SV changes were determined for three years after surgery using volumetry based on computed tomographic imaging, and splenic vein diameter changes after SPDP with CSAV were also determined. Results: Splenic vein diameter after SPDP with CSAV did not change during 3 years. SV did not change significantly during 3 years after SPDP with CSAV and distal gastrectomy. After breast and colorectal surgery, and total gastrectomy, SV was decreased. Conclusions: Postoperative SV changes differed according to the type of surgery. SV did not change significantly during 3 years after SPDP with CSAV.}, pages = {84--91}, title = {Postoperative Changes in Splenic Volume after Spleen-preserving Distal Pancreatectomy with Conservation of the Splenic Artery and Vein, and after Digestive Tract and Breast Surgery}, volume = {36}, year = {2018} }