Laparoscopic distal pancreatectomy

Palanivelu, Chinnusamy; Shetty, Roshan; Jani, Kalpesh; Sendhilkumar, K.; Rajan, P. S.; Maheshkumar, G. S.

doi:10.1007/s00464-006-9020-z

Cited by 90 publications

(11 citation statements)

References 31 publications

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“…In addition, it has been suggested that the hand-assisted laparoscopic approach could be attempted to perform the spleen-preserving distal pancreatectomy when technical difficulties were encountered. [33][34][35] In support of previous studies, 6,[9][10][11][12][13]36 our experience confirmed that laparoscopic pancreatectomy could benefit patients with reduced postoperative pain, shorter hospital stay, quicker recovery to normal activity, and better cosmetic appearances, as compared with open approach. The most common morbidity after laparoscopic pancreatectomy is pancreatic fistula, with a reported incidence ranging from 8% to 33%.…”

Section: Discussionsupporting

confidence: 90%

Laparoscopic Surgery for Pancreatic Insulinomas: A Single-Institution Experience of 29 Cases

Luo¹,

Liu²,

Hu³

et al. 2009

Journal of Gastrointestinal Surgery

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Section: Discussionsupporting

confidence: 90%

Laparoscopic Surgery for Pancreatic Insulinomas: A Single-Institution Experience of 29 Cases

Luo¹,

Liu²,

Hu³

et al. 2009

Journal of Gastrointestinal Surgery

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“…We analyzed tasks of the "Whipple" procedure [7,8,9]. Every task was detailed and sub-tasks were derived.…”

Section: Task Analysismentioning

confidence: 99%

“…Before surgery starts a laparoscopic telescope is inserted to check the surrounding organs for cancer [8]. The patient is set up for the laparoscopic surgery with 4 holes, one for camera, one for left and one for right hand working and one for retraction [9].…”

Section: Task Analysismentioning

confidence: 99%

Web based camera navigation for virtual pancreatic cancer surgery: Whipple surgery simulator (VPanSS)

Demirel

Halic

et al. 2014

2014 IEEE Innovations in Technology Conference

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This study presents an preliminary design and development of a web based real-time virtual laparoscopy simulation for pancreticoduodentomy (Whipple Procedure). In this early stage, we primarily focused on virtual camera navigation to improve hand-eye coordination of a surgeon. Pancreticoduodentomy, pancreatic surgery, is one of most challenging laparoscopic surgeries. We examined whole Whipple procedure to identify its major tasks for the design of a virtual training simulator. Based on the tasks analysis, we found that one of the major challenges in Whipple surgery is accessing to the pancreas. Therefore, identification of the tumorous regions and tumor spread around pancreas become complicated. Surgeons need to carefully navigate laparoscopic camera to the pancreas and nearby tissues and locate the regions affected by the tumor. However, cameras navigation in laparoscopy is intricate due to different abdominal entry locations of camera and surgical tools. Therefore, we developed a real-time, web based, surgical simulation training platform for camera navigation task for Whipple procedure. The goal is to provide accessible, portable, ubiquitous, hardware independent training simulation platform unlike any other surgical simulators. In VPanSS, we developed and integrated a novel contact detection algorithm to continuously determine the camera-organ/tissue contacts during the laparoscopic camera navigation. We tested real-time performance of VPanSS on various platforms to understand its effectiveness and applicability.

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“…In addition, the intraoperative blood loss levels and duration of hospitalization with laparoscopic surgery are lower compared to those with open surgery. [21222324252627282930313233343536]…”

Section: Surgical Management Of Insulinomamentioning

confidence: 99%

Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma

Wang

Zhang

et al. 2017

Endosc Ultrasound

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Insulinoma is the most common functioning islet cell tumor of the pancreas, with an annual incidence of 4 cases/1 million individuals. It is treated by surgical methods. Open surgery was once considered the standard approach for the treatment of insulinoma. However, the procedure is traumatic and requires a large incision, which does not satisfy the growing expectations of minimally invasive management of small-sized tumors. Insulinomas are usually benign solitary tumors and mostly occur sporadically, which makes them suitable candidates for laparoscopic management. The potential advantages of laparoscopic management of insulinoma over open surgery include shorter duration of hospitalization, quicker recovery, and better cosmetic effect. However, because of the small tumor size as well as the depth and uncertainty of the location of the tumor, laparoscopic localization of the lesion without tactile sensation is difficult. Laparoscopic ultrasonography can detect about 90% of insulinomas, and its sensitivity is comparable to that of manual palpation along with intraoperative ultrasonography during open surgery; thus, it ensures the feasibility of laparoscopic management of insulinoma and reinforces its advantage as a minimally invasive procedure. Laparoscopic ultrasonography is vital for the localization of insulinomas and characterization of the surrounding pancreatic structure and should, therefore, be considered an integral part of the laparoscopic management of insulinoma.

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Laparoscopic distal pancreatectomy

Abstract: Laparoscopic distal pancreatectomy is a safe procedure, with minimal morbidity, rapid recovery, and short hospital stay. In appropriate cases, splenic preservation is feasible.

Cited by 90 publications

References 31 publications

Laparoscopic Surgery for Pancreatic Insulinomas: A Single-Institution Experience of 29 Cases

Laparoscopic Surgery for Pancreatic Insulinomas: A Single-Institution Experience of 29 Cases

Web based camera navigation for virtual pancreatic cancer surgery: Whipple surgery simulator (VPanSS)

Efficacy of laparoscopic ultrasonography in laparoscopic resection of insulinoma

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