Totally laparoscopic pancreaticoduodenectomy for locally advanced gastric cancer

Shinohara, Toshihiko; Uyama, Ichiro; Kanaya, Shigehiko; Inaba, Kazuki; Isogaki, Jun; Horiguchi, Akihiko; Miyakawa, Shuichi

doi:10.1007/s00423-009-0492-x

Cited by 16 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopic dissection of the posterior pancreatic margin is particularly challenging. As optimal exposure is key, placing the camera port on the right side seems to be more conducive than having it at the umbilicus. The use of modern energy devices facilitates this step, but it is not entirely clear how safe it is in sealing the fragile pancreaticoduodenal arteries.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of robotic pancreaticoduodenectomy

Boggi¹,

Signori²,

Lio³

et al. 2013

British Journal of Surgery

178

124

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Feasibility of robotic pancreaticoduodenectomy

Boggi¹,

Signori²,

Lio³

et al. 2013

British Journal of Surgery

178

124

View full text Add to dashboard Cite

show abstract

“…Technically-demanding procedures such as total gastrectomy with or without splenectomy, gastrectomy with multivisceral resection, and completion total gastrectomy for remnant gastric cancer have been successfully performed by experienced surgeons using minimally invasive approaches 64,65,66,67,68. Single incision or reduced port surgery for gastric cancer also has been reported to be a safe and feasible procedure 26,27.…”

Section: Mis For Technically-demanding Proceduresmentioning

confidence: 99%

Minimally Invasive Surgery for Gastric Cancer Treatment: Current Status and Future Perspectives

2014

View full text Add to dashboard Cite

Minimally invasive surgery, which has been extensively used to treat gastric adenocarcinoma, is now regarded as one of the standard treatments for early gastric cancer, and its suitability for advanced gastric cancer is being investigated. The use of cutting-edge techniques for minimally invasive surgery enables surgeons to deliver various treatment options to minimize a patient's distress and to maintain oncologic safety. Ongoing multicenter prospective studies aim to validate the efficacy of these surgical techniques and to expand the indications of minimally invasive surgery for the treatment of gastric cancer. In this review, we summarize the current status and issues regarding minimally invasive surgery for the treatment of gastric cancer.

show abstract

“…For a long time, the laparoscopic approach to pancreatic surgery was thought to be only indicated for tumour‐staging purposes. Due to the fact that many problems have not yet been solved, especially related to anastomotic techniques and a high number of related complications, laparoscopic pancreaticoduodenectomy is still not established . In contrast, an increasing number of LDP over the past few years have shown technical feasibility .…”

Section: Introductionmentioning

confidence: 99%

“…Due to the fact that many problems have not yet been solved, especially related to anastomotic techniques and a high number of related complications, laparoscopic pancreaticoduodenectomy is still not established. 3 In contrast, an increasing number of LDP over the past few years have shown technical feasibility. 4 Similar to other laparoscopic procedures in their phase of development, LDP has also been the subject of controversy.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic spleen‐preserving distal pancreatectomy: A consecutive series at an experienced centre

Schloericke¹,

Zimmermann²,

Roblick³

et al. 2012

Surgical Practice

View full text Add to dashboard Cite

Aim The increasing experience within the area of laparoscopic procedures has paved the way for technically‐complex procedures, such as distal pancreatectomy. In order to avoid complications associated with concomitant splenectomy, these procedures are increasingly performed with spleen preservation. A drawback is the low number of cases, which does not allow for an evidence‐based comparison between laparoscopic and open procedures, and spleen‐preserving and concomitant splenectomy procedures. Patients and Methods Between 2006 and 2010, all data for patients who underwent a laparoscopic distal pancreatectomy (LDP) at the Department of Surgery, University of Schleswig‐Holstein, Luebeck, Germany, were collected are stored in a prospectively‐maintained database. Patients with tumours in the pancreatic tail and body that did not exceed the level of the portal vein were included in this database. Results A total of 22 patients who underwent LDP could be included in the evaluation. Ten of those patients underwent a laparoscopic spleen‐preserving distal pancreatectomy (LSPDP), while the remaining 12 received an LDP with splenectomy (LDPwS). The median operation time was 155 min (range: 98–253) for the LSPDP group, and 201 min (range: 60–310) for the LDPwS group (P = 0.06). The median hospital stay was 8.5 days (range: 5–23) in the LSPDP group compared to 11 days (range: 4–41) in the LDPwS group (P = 0.06). Pancreatic fistula occurred in two patients from each group. It caused an intraabdominal haemorrhage in one patient of the LSPDP group, which required re‐laparoscopy. Two patients experienced subphrenic abscesses in the LDPwS group and were treated interventionally. Histological examination revealed six cystadenomas and five pseudocysts (maximum diameter: 7 cm) in the LDPwS group, and six neuroendocrine tumours (maximum diameter: 2 cm) in the LSPDP group. Conclusion LDP can be performed safely. The optic magnification provided by laparoscopy facilitates LSPDP, as dissection of the splenic vessels can be avoided. Although not significant, there was a trend towards reduced hospital stay and operating time for LSPDP. Oncologic outcomes and morbidity seem to not be inferior to open procedures. The size of the tumours and the peripancreatic, as well as paraneoplastic, tissue alterations determine the indication for splenectomy.

show abstract

Totally laparoscopic pancreaticoduodenectomy for locally advanced gastric cancer

Cited by 16 publications

References 16 publications

Feasibility of robotic pancreaticoduodenectomy

Feasibility of robotic pancreaticoduodenectomy

Minimally Invasive Surgery for Gastric Cancer Treatment: Current Status and Future Perspectives

Laparoscopic spleen‐preserving distal pancreatectomy: A consecutive series at an experienced centre

Contact Info

Product

Resources

About