Laparoscopic pancreatectomy: Did the indications change? A review from literature

Sperlongano, Pasquale; Esposito, E.; Esposito, Anna; Clarizia, Guglielmo; Moccia, G.; Malinconico, F. A.; Foroni, Fabrizio; Manfredi, Celeste; Sperlongano, S.; Gubitosi, Adelmo

doi:10.1016/j.ijsu.2015.04.094

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…En cuanto a las complicaciones posquirúrgicas, la fuga pancreática y la formación de fístulas son las que se reportan con mayor frecuencia. También, se han registrado abscesos pancreáticos, seudoquistes, retardo en el vaciamiento gástrico, obstrucción intestinal, colitis seudomembranosa, colangitis, neumonitis e infección del sitio operatorio, con reportes variables de morbilidad perioperatoria (rango de 0 a 62 %) 5,36,38,40 .…”

Section: Discussionunclassified

Tumor seudopapilar sólido del páncreas

et al. 2016

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Los tumores seudopapilares sólidos del páncreas representan del 1 al 2 % de las lesiones neoplásicas del páncreas exocrino. Descritos por primera vez por Frantz, han recibido múltiples denominaciones hasta su clasificación actual por la Organización Mundial de la Salud (OMS). Carecen de un cuadro clínico típico y frecuentemente se diagnostican de manera incidental por estudios de imágenes de sección transversal, en los que se reconocen características clave para su diagnóstico, y se presentan especialmente en mujeres jóvenes y adolescentes. Actualmente, su tratamiento es fundamentalmente quirúrgico, prefiriéndose técnicas conservadoras, con excelentes resultados a largo plazo. Se reporta el caso de una mujer joven con síntomas abdominales inespecíficos, a quien después de tratamientos previos para otras posibles enfermedades, se le practicó una tomografía computarizada de abdomen en la cual se documentó una lesión de características típicas de este tipo de tumor; fue sometida a pancreatectomía distal y esplenectomía laparoscópicas, con confirmación histológica de la neoplasia y sin necesidad de tratamiento adicional posterior

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Section: Discussionunclassified

Tumor seudopapilar sólido del páncreas

et al. 2016

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“…Many researchers have written systematic reviews of laparoscopic DP, and these reviews and institutional series described outcome parameters [ 76 – 80 ]. Many surgeons suggested that laparoscopic DP is safe and reasonable [ 76 – 80 ], though only few reports of laparoscopic DP for SPN were reported [ 6 – 8 ]. Laparoscopic DP with or without splenic preservation is beneficial for curative treatment of SPN if surgical procedures are carefully considered.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Distal Pancreatectomy with or without Preservation of the Spleen for Solid Pseudopapillary Neoplasm

Hori

Masui

Kaido

et al. 2015

Case Reports in Surgery

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Solid pseudopapillary neoplasm (SPN) is a rare tumor of the pancreas. Laparoscopic distal pancreatectomy (DP) is a feasible and safe procedure, and successful spleen preservation rates are higher using a laparoscopic approach. We hypothesized that certain patients with SPN would be good candidates for laparoscopic surgery; however, few surgeons have reported laparoscopic DP for SPN. We discuss the preoperative assessment and surgical simulation for two SPN cases. A simulation was designed because we consider that a thorough preoperative understanding of the procedure based on three-dimensional image analysis is important for successful laparoscopic DP. We also discuss the details of the actual laparoscopic DP with or without splenic preservation that we performed for our two SPN cases. It is critical to use appropriate instruments at appropriate points in the procedure; surgical instruments are numerous and varied, and surgeons should maximize the use of each instrument. Finally, we discuss the key techniques and surgical pitfalls in laparoscopic DP with or without splenic preservation. We conclude that experience alone is inadequate for successful laparoscopic surgery.

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“…Laparoscopic pancreatic surgery began with resection of small and benign lesions (enucleation) and progressed to caudal, total, central and duodenal pancreatectomy procedures 3 , 11 , 12 , 19 . Despite all the technical difficulties inherent to pancreatic surgery, laparoscopic distal pancreatectomy has been gradually included in the routine of various services because their results are similar to those from laparotomy, including in cases of malignant disease 8 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Distal Pancreatectomy With Spleen Preservation

Pais-Costa¹,

Sousa²,

Araujo³

et al. 2018

ABCD, arq. bras. cir. dig.

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Background:Laparoscopic distal pancreatectomy has been the choice for resection of distal pancreas lesions due many advantages over open approach. Spleen preservation technique seems minimizes infectious complications in long-term outcome. Aim:To present the results of laparoscopic distal pancreatectomies with spleen preservation by Kimura´s technique (preservation of spleen blood vessels) performed by single surgical team. Methods:Retrospective case series aiming to evaluate both short and long-term outcomes of laparoscopic distal pancreatectomies with spleen preservation. Results: A total of 54 laparoscopic distal pancreatectomies were performed, in which 26 were laparoscopic distal pancreatectomies with spleen preservation by Kimura´s technique. Mean age was 47.9 years-old (21-75) where 61.5% were female. Mean BMI was 28.5 kg/m² (18-38.8). Mean diameter of lesion was 4.3 cm (1.8-7.5). Mean operative time was 144.1 min (90-200). Intraoperative bleeding was 119.2 ml (50-600). Conversion to laparotomy 3% (n=1). Postoperative morbidity was 11.5%. Postoperative mortality was null. Mean of hospital stay was 4.8 days (2-14). Mean time of follow-up period was 19.7 months (2-60). There was no neoplasm recurrence or mortality on evaluated period. There was no infectious complication. Conclusion:Laparoscopic distal pancreatectomy with spleen and splenic vessels preservation is feasible, safe, and effective procedure. This technique presented both low morbidity and null mortality on this sample. There were neither infectious complications nor neoplasm recurrence on long-term follow-up period.

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Laparoscopic pancreatectomy: Did the indications change? A review from literature

Cited by 5 publications

References 41 publications

Tumor seudopapilar sólido del páncreas

Tumor seudopapilar sólido del páncreas

Laparoscopic Distal Pancreatectomy with or without Preservation of the Spleen for Solid Pseudopapillary Neoplasm

Laparoscopic Distal Pancreatectomy With Spleen Preservation

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