Is laparoscopic left pancreatic resection justified?

Abstract

These preliminary results confirm that in selected cases laparoscopic resection of the left pancreas is feasible and safe.

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

“…However, after LDP hospital stay and convalescence are shorter and the cosmetic effect is better [21,26]. Operative time (3 h) and hospital stay (4 and 6 days) in our cases were shorter compared with adult patients [7,10,18]. On the other hand, shorter operative time is described in some recently published series, which can be explained by the increasing experience of surgeons and advances in surgical instrumentation [4,9].…”

“…Overall morbidity of laparoscopic procedures concerning pancreatic resections is comparable with open series and ranges from 23% to 47%, and that mortality is less than 5% [7,21,22]. Bleeding is the most common intraoperative complication.…”

“…Open DP, involving resection of the pancreas to the left of the superior mesenteric vessels, is performed for a range of benign and malignant lesions, trauma and inflammation [6]. In recent years, DP has been increasingly performed by a minimally invasive laparoscopic approach [4,[7][8][9][10]. However, the number of publications and published series is small, especially in children [11,12].…”

“…The main problems after surgery of the pancreas are pancreatic fistula, sterile collection, abscess and wound disruption, all of them believed to be due to pancreatic leakage from the stump and reaching an incidence rate of 11-27% [4,7,8,13,15,20,23]. Stapler transection of the pancreas body is the most preferred in laparoscopic pancreatic surgery [5,6,9,13,24,25].…”

Minimalinvasive Chirurgie bei Malignomen des Gastrointestinaltrakts: Pankreas - Kontra-Position

“…Bei längerer Operationszeit und kürzerer Krankenhausaufenthaltsdauer war die Morbidität in Höhe von 26% mit jener der offenen Technik vergleichbar. Gleichermaßen zeigten Fabre et al [21] in ihrer Studie, dass die laparoskopische Herangehensweise generell als sicher und praktikabel einzustufen ist. Edwin et al [22] publizierten 2004 eine größere Studie unter Einschluss von 32 Patienten.…”