Experience with totally laparoscopic distal pancreatectomy with splenic preservation for pediatric trauma—2 techniques

Rutkoski, John D.; Segura, Bradley J.; Kane, Timothy D.

doi:10.1016/j.jpedsurg.2010.07.020

Cited by 24 publications

(16 citation statements)

References 22 publications

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“…Patients with concomitant solid organ injuries, especially hepatobiliary or duodenal lacerations are most commonly treated surgically 4. Significant morbidity, mortality and protracted hospital stays have historically been reported in patients with AAST grade III–V pancreatic injuries being treated conservatively, with early surgical intervention proving more often than not to be the most expedious route to a full recovery in these patients 7891011. Conservative management includes a combination of expectant observation in a high dependency unit, fluid resuscitation, analgesia, endoscopic (ERCP) intervention, angioembolization (pancreatic injuries associated with intra-abdominal hemorrhage or lacerated blood vessels) and percutaneous drainage of peripancreatic collections and hematomas.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature

Chin

Koh

Goh

2019

Ann Hepatobiliary Pancreat Surg

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Pancreatic injuries are often associated with trauma and occur most commonly in combination with other solid organ injuries. Management strategies for pancreatic injuries include conservative, endoscopic, percutaneous and surgical intervention. Literature on the laparoscopic approach to management of pancreatic trauma is rare and poorly reviewed. We describe a case report of successful and uncomplicated laparoscopic distal pancreatosplenectomy (LDP) for a patient suffering from isolated traumatic pancreatic tail transection. A literature review was performed with regards to the indications for intervention and different modalities of treatment for traumatic pancreatic lacerations. A review and comparison was also made between the scarce pre-existing reports of the laparoscopic approach to pancreatic resection in the setting of trauma. The laparoscopic approach to pancreatic resection, in the setting of trauma, can be considered as a viable alternative to open surgery. Moving forward, further studies with larger patient numbers will be needed to compare the outcomes between the open and laparoscopic approach. (Ann Hepatobiliary Pancreat Surg 2019;23:408-413)

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Section: Discussionmentioning

confidence: 99%

Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature

Chin

Koh

Goh

2019

Ann Hepatobiliary Pancreat Surg

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“…Для профилактики свищей после энуклеации инсулиномы предлагают использовать различные фибринные клеи или накладывают на паренхиму ПЖ матрас-ные швы. При выполнении лапароскопиче-ских резекций ПЖ оптимальным является использование сшивающих аппаратов, что было применено у детей с травматическими разрывами ПЖ [17]. По большей части пан-креатические свищи могут закрываться спонтанно, что и отмечено в представленном нами наблюдении.…”

Section: Discussionunclassified

Laparoscopic distal pancreatectomy in 16 years girl with insulinoma

Sokolov¹,

Юрьевич²,

Melikyan

et al. 2017

Endo Serg

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Представлено клиническое наблюдение инсулиномы у девочки 16 лет, у которой отмечены жалобы на приступы потери сознания с последующей ретроградной амнезией, сопровождавшиеся слабостью и головокружением. Больная был переведена в эндокринологическое отделение, где при регулярном контроле гликемии зафиксированы низкие значения (2,0-2,5 ммоль/л). Топический диагноз инсулиномы был установлен с помощью лучевых методов -мультиспиральной компьютерной томографии с контрастным усилением и магнитно-резонансной томографии, при которых в хвосте поджелудочной железы выявлена овальной формы опухоль размерами 12 × 10 мм. Девочке было проведено молекулярно-генетическое исследование гена MEN1 -мутаций в исследованном гене не выявлено. На период предоперационной подготовки с целью профилактики гипогликемического синдрома был назначен прогликем (диазоксид) в дозе 100 мг/сут, на фоне которого отмечалась стабилизация показателей гликемии. В дальнейшем была выполнена лапароскопическая дистальная резекция поджелудочной железы с опухолью. После операции достигнута стойкая эугликемия. При микроскопическом и иммуногистохимическом исследовании подтверждена нейроэндокринная опухоль поджелудочной железы G1. В обсуждении представлены данные об эпидемиологии, диагностике и хирургическом лечении инсулином у детей и взрослых. Ключевые слова: инсулинома, поджелудочная железа, лапароскопия, дистальная резекция поджелу-дочной железы с сохранением селезенки.We present a clinical case of insulinoma in 16 years-old girl. The patient complained about episodes of loss of consciousness, followed by retrograde amnesia and accompanied by weakness and dizziness. The patient was transferred to the Department of Endocrinology, where hypoglycemia was detected (2.0-2.5 mmol/l). Topical diagnosis of insulinoma was evidentiated with the help of radiological methods -multislice CT and contrast-enhanced MRI, which revealed an oval tumor 12 × 10 mm. The molecular genetic analysis of MEN1 gene was performed -no mutations were revealed. Prescribed Proglikem (diazoxide) therapy (100 mg/day) on pre-operative period was effective, patient's glycemia values stabilized. Further the laparoscopic distal pancreatectomy with tumor removal was performed. After the surgery we achieved stable euglycemia. On microscopic and immunohistochemical studies pancreatic neuroendocrine tumor G1 was confirmed. The discussion presents data on the epidemiology, diagnosis and surgical treatment of insulinomas in children and adults.

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“…In case reports involving minimally invasive approaches, there is a recurrent need to upsize port incisions to introduce staplers in both elective 2 and emergent operations. 3,4 The increase from a 3-or 5-mm incision to a 10-or 12-mm incision is not large in an absolute sense, but it likely increases the risk of subsequent development of incisional hernia. [5][6][7][8] There are other devices that may be used through smaller ports (i.e., energy devices, 9 electrocautery, 10 and endoloop 11,12 ), but the availability of a stapling device that can be used without increasing the size of the port enhances the options available to the surgeon and may augment the number of cases that can be done successfully from a minimally invasive approach.…”

Section: Discussionmentioning

confidence: 99%

A Single Institution Review of Initial Application of a 5-mm Stapler

Rogers

Zens

Kohler

et al. 2016

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Our initial experience suggests that although there were more complications with the 5-mm stapler, there is no statistically significant difference in complication rates when compared with the 10-mm stapler. Furthermore, the 5-mm stapler complications can be corrected with device training and proper patient selection. In appropriately selected pediatric surgery cases with size limitations, the 5-mm stapler can be used to minimize the invasiveness of the operation.

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Experience with totally laparoscopic distal pancreatectomy with splenic preservation for pediatric trauma—2 techniques

Cited by 24 publications

References 22 publications

Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature

Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature

Laparoscopic distal pancreatectomy in 16 years girl with insulinoma

A Single Institution Review of Initial Application of a 5-mm Stapler

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