Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It

Fisichella, P. Marco; Shankaran, Vidya; Shoup, Margo

doi:10.1007/s11605-010-1313-9

Cited by 9 publications

(3 citation statements)

References 15 publications

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“…The absence of an anastomosis in distal pancreatectomy makes the procedure inherently more suited to the laparoscopic approach than pancreaticoduodenectomy. Details of technique of LDP are well described elsewhere 2, 3, but two variations merit particular discussion when considering LDP for malignancy: the splenic‐preserving approach and consideration of a hand‐access approach.…”

Section: Laparoscopic Distal Pancreatectomymentioning

confidence: 99%

Laparoscopic pancreatectomy for malignancy

Fisher

Kooby

2012

Journal of Surgical Oncology

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Utilization of laparoscopic techniques for resection of the pancreas has slowly gained acceptance in specific situations and is now being applied to more challenging endeavors, such as pancreaticoduodenectomy for cancer. This review provides a summary of laparoscopic applications for pancreatic malignancy, with specific attention to the most common methods of pancreatic resection and their respective oncologic outcomes, including margin status, lymph node retrieval, and survival.

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Section: Laparoscopic Distal Pancreatectomymentioning

confidence: 99%

Laparoscopic pancreatectomy for malignancy

Fisher

Kooby

2012

Journal of Surgical Oncology

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“…The first description of laparoscopic distal pancreatectomy was published by Soper et al in 1994 [2] in animal model but since then many surgeons worldwide with better improvement of technologies, like ultrasonography, staplers, instrumentations, and so forth, have been applied safely in humans [3, 4]. In recent years, laparoscopic distal pancreatectomy had been performed for benign [5, 6], malignant [7], inflammatory lesion [8], and even for harvesting pancreatic donor for transplant [9]. Though technically feasible, this procedure is not frequently performed, probably due to the limited cases indicated for this procedure, the technical difficulty involved, and the high-tech devices required.…”

Section: Introductionmentioning

confidence: 99%

Single-Port Laparoscopic Spleen Preserving Distal Pancreatectomy

Chang

Lomanto

Mayasari

2012

Minimally Invasive Surgery

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Single-port laparoscopic surgery has become increasingly popular, with widened indication to more types of surgery. This report will present our initial experience with spleen-preserving distal pancreatectomy technique through a small transumbilical incision using the single-port approach for a cystic tumor of pancreatic body. The surgery was done using specialized single-port instruments and normal laparoscopic instruments. The total operative time for this surgery is 233 minutes, and it was completed without drains. Patient was discharged from the hospital on the third day postoperatively in good condition.

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“…[11] Today, technique is performed for many lesions including benign, malign, and inflammatory lesions, and even for pancreatic transplant donors by various centers. [12,13] The first SILS splenectomy and SILS distal pancreatectomy were contributed to literature by our group respectively in 2009 and 2010. [6,9] However, there are still limited data and debate regarding single-incision techniques.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Outcomes of Single Incision versus Conventional Multi-Port Laparoscopic Distal Pancreatectomy: A Single Institution Experience

et al. 2019

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M inimally invasive techniques represent a technologydependent surgical revolution, generally performed by experienced surgeons. In recent years, these surgical techniques have become feasible and safe for many surgical procedures worldwide. Compared to conventional operations, laparoscopic pancreatic surgery has been gaining more acceptance as a surgical option for the treatment of pancreatic diseases since it was first reported in literature Objectives: Single-incision laparoscopic procedures have been gaining popularity in recent years due to their minimal incisional morbidity and improved cosmetic outcomes. Herein, we will compare the feasibility and outcomes of single-incision and conventional multiport laparoscopic distal pancreatectomy. Methods: This study involves consecutive patients who underwent either single-incision or conventional multiport laparoscopic distal pancreatectomy from March 2007 to February 2014. The patients were divided into two groups, based on the surgical approach: single-incision laparoscopic surgery (Group 1) and conventional multiport laparoscopic surgery (Group 2). The parameters evaluated included estimated blood loss, operative time, postoperative pain, duration of hospital stay, complications, conversion, and final pathology. Results: There were a total of 20 patients, 10 in each study group. Baseline characteristics were similar, and there was no mortality in either of the groups. The low-flow pancreatic fistula was the most commonly seen morbidity, but it was ceased spontaneously in each group by a ratio of 30%. The operative time was significantly shorter in Group 2, with a mean of 116 minutes versus a mean of 180 minutes for Group 1 (p<0.001). One of the procedures in Group 2 was converted to open surgery due to peroperative bleeding. The median follow-up periods of the patients were 22 months and 56 months. The spleen was preserved in only 1 patient from Group 1, whereas in Group 2, the spleen preservation was achieved in 5 patients. Conclusion: The single-incision laparoscopic technique is a safe and effective alternative to standard laparoscopic distal pancreatectomy.

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Laparoscopic Distal Pancreatectomy with or Without Splenectomy: How I Do It

Cited by 9 publications

References 15 publications

Laparoscopic pancreatectomy for malignancy

Laparoscopic pancreatectomy for malignancy

Single-Port Laparoscopic Spleen Preserving Distal Pancreatectomy

Comparison of Clinical Outcomes of Single Incision versus Conventional Multi-Port Laparoscopic Distal Pancreatectomy: A Single Institution Experience

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