Retroperitoneoscopic pancreatectomy: a new surgical option for pancreatic disease

Abstract

The results of this preliminary study demonstrate that retroperitoneoscopic pancreatectomy, a novel surgical approach, was feasible and effective in selected patients. The advantages of this approach include acceptable operating time, insignificant blood loss, simple manipulations, minor complications, and excellent postoperative recovery time. Additionally, this study suggests that retroperitoneoscopy could also be feasible for treatment of retroperitoneal nonpancreatic diseases.

Single-port Retroperitoneoscopic Pancreatectomy

“…28 Compared with transabdominal laparoscopic approaches, one of the most important advantages of retroperitoneoscopy is the establishment of direct and simplified access to the retroperitoneal organs. We reported the first clinical application of retroperitoneoscopic pancreatectomy and successfully completed pancreatic tumor resection, distal pancreatectomy without splenectomy, pancreatic cyst excision, and retroperitoneal tumor resection.…”

“…28 Compared with transabdominal laparoscopic approaches, one of the most important advantages of retroperitoneoscopy is the establishment of direct and simplified access to the retroperitoneal organs. 28 Single-port surgeries are reported to have the same surgical outcomes as traditional laparoscopy with no significant difference in operative time. After dissection of perirenal fat from the anterior renal fascia, an ideal retroperitoneal space (anterior perirenal space) can be developed.…”

“…A major advantage of retroperitoneoscopic surgery is that it provides a direct operative approach to the pancreas without the need to retract adjacent organs, 28 thus allowing the possibility to use single-port laparoscopic pancreatic surgical techniques. Furthermore, direct access to the pancreas cannot be established with traditional laparoscopic or open techniques as the pancreas is a retroperitoneal structure.…”

Prognosis control surgery: From theory to practice

“…与传统的开腹手术相比, 腹 腔镜肝切除术中平均出血量、术后并发症及平均住院 日均明显减少 [30,31] . [32,34,36,38] , 其中胰岛素瘤剜除及胰体尾切除术的 手术时间30~100 min, 术中出血10~100 mL, 术后仅个 别患者并发A级胰瘘, 无其他严重并发症, 平均术后7 d 即可出院 [33] , 较常规入路优势明显. 对于重症胰腺炎患 者, 后腹腔镜手术具有明显的损伤控制优势.…”

La pancréatectomie gauche laparoscopique peut-elle être standardisée ? Synthèse des ateliers de printemps de l’ACHBT 2013

“…Cet abord a été employé avec succès pour des lésions kystiques ou tissulaires bénignes de la queue du pancréas, mais l'expérience publiée de PG par cette voie reste limitée à 6 cas dans la littérature [35,36]. La faisabilité de la PG laparoscopique par trocart unique a également été rapportée pour des lésions de petite taille chez des patients minces, mais l'expérience publiée est également très limitée [37][38][39][40][41], sans qu'aucun bénéfice n'ait été démontré [41].…”