Distal pancreas surgery: outcome for 19 cases managed with a laparoscopic approach

Abstract

The authors can affirm that laparoscopy for the distal pancreas is a successful procedure in terms of results and surgical feasibility. Prospective studies are necessary to confirm their positive impression.

Mini-invasive distal pancreatectomy: a feasible and cost-effective technique

“…[14] Velanovich et al [36] reported a rate of POPF of 13% in both groups, whereas Kooby et al [37] reported 26% POPF in LDP and 32% in ODP. Another series showed 14% POPF in LDP (n = 70) vs. 13% after open surgery (n = 45), similar to the report of Corcione et al [38] (10.4% in LDP). In contrast, Fox et al [39] reported a higher incidence of POPF in LDP (28.57%) compared to ODP (13.16%), but LDP led to only grade A fistulae, while all the grade B-C fistulae occurred in the ODP group.…”

Laparoscopic distal pancreatectomy in children with solid pseudopapillary tumour (Frantz tumour) – a report of two cases and review of the literature

“…In most cases complete tumour resection preserving as much pancreatic tissue as possible is the treatment of choice [2,3]. Laparoscopic distal pancreatectomy (LDP) is recently recommended in adult patients with benign tumour of the pancreas body and tail [4,5]. We report our experience with two cases of LDP in children with Frantz tumour.…”

The Current State of Minimally Invasive Distal Pancreatectomy

“…As familiarity developed, significant experiences were reported. Naturally, higher-volume centers have offered direct comparisons of laparoscopic and open outcomes [6,7,11,14,16,[21][22][23][24][25][26][27]. Over the past year, five reports have advanced this literature by pooling such studies using meta-analytical techniques [28, 29 • , 30, 31, 32 • ].…”

“…The feasibility of laparoscopic pancreatic surgery was first documented in numerous case series largely conducted at single institutions [4][5][6][7][8][9][10][11][12][13][14][15][16][17]. As familiarity developed, significant experiences were reported.…”

“…The approach has several potential technical advantages over open resection, including better visualization and exposure of the pancreas within the retroperitoneum. Since its inception, multiple studies have documented the safety and feasibility of the laparoscopic approach [4][5][6][7][8][9][10][11][12][13][14][15][16][17], and several reports have chronicled initial experiences with robotic distal pancreatectomy (RDP) as well [18][19][20]. Minimally invasive distal pancreatectomy (MIDP; encompassing LDP and RDP) is steadily becoming more widespread, and with accrued experience, increasingly complex lesions are being approached.…”