The laparoscopic enucleation for branch duct type intraductal papillary mucinous neoplasms located at the body of pancreas: A case report

Abstract

Surgical treatment is the dominant choice for the treatment for IPMN. Although minimally invasive, laparoscopic enucleation of BD-IPMN is able to achieve an adequate level of radicality without the accompanying complications and with short postoperative recovery period.

Robotic Enucleation for Benign or Borderline Tumours of the Pancreas: A Retrospective Analysis and Comparison from a High‐Volume Centre in Asia

“…Several series of laparoscopic enucleation have been reported with encouraging results. However, the number of patients was small, and laparoscopy did not appear to be useful for right‐sided procedures [6–8, 17, 18], likely because the dissection and haemostasis of the head and uncinate are more complicated and therefore riskier than left‐sided procedures. Before conversion to laparotomy, we recommend that surgeons should consider robot‐assisted surgery, which is the most advanced minimally invasive technique available.…”

“…When the tumour is located in the right side, surgeons are usually unwilling to perform minimally invasive surgery, because it is associated with greater risks and potential complications, such as POPF, bile duct injury or bleeding from the PV–SMV, for which laparoscopy appears to be useless [6–8, 17, 18]. Consistent with this notion, in our study, all six of the major complications, including the patient who died, had a tumour in the right side, and our surgery on the right side required significantly more time than that on the left side.…”