Safety and efficacy of laparoscopic distal pancreatectomy for the treatment of pancreatic disease

Matsumoto, Toshifumi; Hirano, Seitaro; Yada, Kazuhiro; Himeno, Y; Shibata, Kohei; Aramaki, Masanori; Kawano, Katsunori; Kitano, Seigo

doi:10.1007/s00534-004-0930-7

Cited by 19 publications

(15 citation statements)

References 24 publications

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“…The feasibility of LLP for the treatment of left-sided pancreatic pathologies has been demonstrated in several case series during the past 15 years (including a large one from our institution) [3][4][5][6][7][8][9][10][11][12][13][14][15][16], but comparison with the classic open approach has just only started being reported in a handful of nonrandomized studies [19][20][21][22][23][24][25][26][27][28]. In general, LLP provides some benefit without increasing morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…These two patients had a trocar-site hernia. The median time to resume work and normal activities from hospital discharge was 6 weeks (IQR, [4][5][6][7][8][9][10][11][12] in the OLP group and 3 weeks (IQR, 2-3) in the LLP group (P \ 0.0001). Long-term outcomes are summarized in Table 5.…”

Section: Long-term Outcomesmentioning

confidence: 99%

“…Since the very first descriptions of laparoscopic pancreatic resections by Gagner and Gagner and Pomp [1] and Cuschieri [2], technology and training have evolved so much that such procedures have been accepted as an alternative to open resections, at least in tertiary care centers [3][4][5][6][7][8][9][10][11][12]. The most widespread application of laparoscopy has been for left pancreatectomy (with or without spleen preservation), which albeit challenging in comparison with other solid organ resections requires relatively limited dissection and no reconstruction.…”

mentioning

confidence: 99%

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Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach

et al. 2011

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Laparoscopic left pancreatectomy is a safe procedure for benign and borderline tumors, with similar perioperative outcomes compared with the open procedure. In the long term, the laparoscopic approach is likely to be superior thanks to a more rapid resume of full-time activities and to the lower incidence of incisional hernias and exocrine insufficiency. Clearly, these results have yet to be confirmed in large, randomized trials.

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Section: Discussionmentioning

confidence: 99%

Section: Long-term Outcomesmentioning

confidence: 99%

mentioning

confidence: 99%

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Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach

et al. 2011

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“…For IPMNs in the body/tail of the pancreas, albeit relatively rare in comparison to those in the head, laparoscopic distal pancreatectomies have been performed. 25,50 When resecting IPMNs laparoscopically one should be aware that, as is true for MCNs, some IPMNs are associated with invasive carcinoma.…”

Section: Indications Of Laparoscopic Pancreatic Resectionsmentioning

confidence: 99%

Laparoscopic Pancreatic Resection: The Past, Present, and Future

Takaori

Tanigawa

2007

Surg Today

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Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism, and neoplasms of the pancreas; e.g., insulinoma, mucinous cystic neoplasm, intraductal papillary mucinous neoplasm, etc. Laparoscopic pancreatic resections with an en bloc lymph node dissection have also been performed for invasive carcinomas. The long-term results after laparoscopic resections for invasive pancreatic cancer, however, are still not well defined. Laparoscopic distal pancreatectomies with or without spleen preservation may benefit patients with reduced postoperative pain, shorter hospital stay, a quicker recovery to normal activity, and better cosmetic appearances based on retrospective analyses of collective series and case reports. Prospective randomized controlled trials are needed to validate these benefits. In contrast, laparoscopic proximal pancreatectomies with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy and laparoscopic duodenum-preserving pancreatic head resection are technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences by highly skilled endoscopic surgeons. To justify the performance of laparoscopic proximal pancreatectomies, it is mandatory to demonstrate the potential clinical benefits and safety of these complicated procedures.

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“…Laparoscopic pancreatic resection has been slow to gain wide acceptance because of the difficult access to the delicate organ, its close relations with major vessels, and its complex physiology [1]. However, with the advancement in surgical technology and accumulation of advanced laparoscopic skills, pancreatic surgery is starting to gain popularity, especially for distal pancreatectomies [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic distal pancreatectomy: critical analysis of preliminary experience from a tertiary referral centre

et al. 2009

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Laparoscopic distal pancreatic resection is feasible, safe, and efficient. However, this surgery should only be performed in specialized centres with extensive experience in pancreatic and laparoscopic surgery. Oversewing the pancreatic stump after transaction with Endostapler may reduce the incidence of pancreatic leak. Centralization of pancreatic surgery has a positive impact on building up surgical expertise, resulting in obvious benefits for both patients and institutions.

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Safety and efficacy of laparoscopic distal pancreatectomy for the treatment of pancreatic disease

Abstract: Our limited results, together with reported outcomes, suggest that laparoscopic distal pancreatectomy is safe and effective for selected patients. The potential advantages of this procedure include reduced morbidity and reduced hospital stay.

Cited by 19 publications

References 24 publications

Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach

Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach

Laparoscopic Pancreatic Resection: The Past, Present, and Future

Laparoscopic distal pancreatectomy: critical analysis of preliminary experience from a tertiary referral centre

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