Minimally invasive surgery of the pancreas in progress

Fernández‐Cruz, Laureano; Cesar‐Borges, Gleydson; López-Boado, M.Á.; Orduña, David; Navarro, Salvador

doi:10.1007/s00423-005-0556-5

Cited by 30 publications

(26 citation statements)

References 74 publications

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“…Patients suffer less pain, have a shorter ICU and total hospital stay, and experience a faster postoperative recovery [9]. Because of the early mobilization, non-surgical postoperative morbidity can be reduced.…”

Section: Current State Of Minimally Invasive Pancreatic Surgerymentioning

confidence: 99%

“…Furthermore, the laparoscopic technique improves the surgical preparation by its magnified view [9]. Operation time is equal or longer, but blood loss is significantly lower, because small arteries and veins can be identified much better and bleeding can be easily controlled.…”

Section: Current State Of Minimally Invasive Pancreatic Surgerymentioning

confidence: 99%

“…By using a laparoscopic approach for this indication, Fernández-Cruz et al [7] could reduce the hospital stay of 7 patients with inflammatory tumors in chronic pancreatitis to 1 week and patients could return to normal activities within 3 weeks [9]. In contrast, hospital stay was 12 days in open left resection and patients returned to normal activities after >5 weeks.…”

Section: Distal Pancreatectomymentioning

confidence: 99%

“…The first approach divides the small arterial and venous connections between pancreas and the splenic vessels as in the open procedure. The magnified laparoscopic view allows spleen preservation easier than in open surgery, because of a better separation of the splenic artery and vein from the pancreatic parenchyma [9,28]. …”

Section: Distal Pancreatectomymentioning

confidence: 99%

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Minimally Invasive Surgery for Pancreatic Disease - Current Status

et al. 2016

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Laparoscopic procedures have advanced to represent the new gold standard in many surgical fields. Although application in pancreatic surgery is hampered by the friable nature of the gland and the difficulty of its exposure, advanced technology and surgeons' experience are leading to an expansion of minimally invasive pancreatic surgery. Addressing the whole range of main operative procedures, this review analyzes the literature data so far to give an overview about the current status of minimally invasive pancreatic surgery, its indications and limitations. In acute pancreatitis, a step-up approach from percutaneous drainage to retroperitoneoscopic necrosectomy seems beneficial. Transgastric necrosectomy also preserves the retroperitoneal compartment in contrast to the laparoscopic approach, which has widely been abandoned. In tumor pathology, laparoscopic access is adequate for small benign lesions in the pancreatic tail and body. Oncological outcome shows to be at least equal to the open procedure. Concerning laparoscopic pancreaticoduodenectomy, there is no evidence for a patients' benefit currently although several studies prove that it can be done.

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Section: Current State Of Minimally Invasive Pancreatic Surgerymentioning

confidence: 99%

Section: Current State Of Minimally Invasive Pancreatic Surgerymentioning

confidence: 99%

Section: Distal Pancreatectomymentioning

confidence: 99%

Section: Distal Pancreatectomymentioning

confidence: 99%

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Minimally Invasive Surgery for Pancreatic Disease - Current Status

et al. 2016

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“…[1][2][3][4] Pancreatic fluid leak from the pancreatic remnant and subsequent fistula formation have been identified as the most frequent and serious post-DP complications. 5,6 Although laparoscopic DP (LDP) is safe and effective [7][8][9] and is considered by some authors the best approach to left-sided pancreatic pathology in need of resection, 8 no reduction in postoperative pancreatic fistula rates has been demonstrated using this surgical approach in comparison with the conventional open approach. 8 The difficulty in preventing pancreatic leak after DP has resulted in various methods of closing the pancreatic stump.…”

mentioning

confidence: 99%

Laparoscopic Distal Pancreatectomy: Feasibility Study of Radiofrequency-Assisted Transection in a Porcine Model

Dorcaratto

Burdı́o²,

Fondevila³

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background and Aim: Despite technological improvements in pancreatic surgery, the incidence and morbidity of pancreatic leak after resection of distal pancreas are persistently high in most series. Laparoscopic distal pancreatectomy (LDP) is today the gold standard procedure for benign and certain malignant neoplasms of the pancreatic body and tail in specialized centers. This study evaluated safety and feasibility of a radiofrequency (RF)-assisted transection device in a porcine model of LDP. Materials and Methods: LDP was performed on 10 pigs (median weight, 39.6 kg) using a new device based on an internally cooled RF-assisted electrode (Coolinside Ò , Apeiron Medical, Valencia, Spain). The animals were subjected to daily observation and then sacrificed and necropsied at 4 weeks postoperatively. Primary end points were the development of postoperative pancreatic fistula using the Pancreatic Anastomotic Leak Study Group definition and/or the presence of abdominal amylase-rich fluid collections or abscesses during necropsy and pathological study and/or dye extravasation from the pancreatic remnant duct. Secondary end points were intra-or postoperative complications, surgery, and transection duration.

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