Two Anatomical Pathways for Retroperitoneoscopic Pancreatectomy: Indications for the Posterior and Lateral Approaches

Zhao, Guodong; Hu, Minggen; Liu, Rong; Zhao, Zhiming; Xu, Yong; Zhou, Huinian; Wang, Xuefei; Zhang, Xinning

doi:10.1007/s00268-014-2654-4

Cited by 5 publications

(6 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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.…”

Section: 三维重建与手术规划unclassified

“…. (a) 旁侧入路(经过肾旁后间隙、直接入肾旁前间隙); (b) 后侧入路(经过肾旁后间隙、肾周间隙, 最后入肾旁前间隙) Figure 3 (Color online) Two pathways for retroperitoneoscopic pancreatic suregy [34] . 将标本连同淋巴结en-block整块切除 [14] .…”

Section: 利用能量器械直接离断脾结肠韧带能迅速、安全地mentioning

confidence: 99%

See 1 more Smart Citation

Prognosis control surgery: From theory to practice

Liu¹,

Liu²,

Wang³

et al. 2019

Chin. Sci. Bull.

Self Cite

View full text Add to dashboard Cite

Section: 三维重建与手术规划unclassified

Section: 利用能量器械直接离断脾结肠韧带能迅速、安全地mentioning

confidence: 99%

Prognosis control surgery: From theory to practice

Liu¹,

Liu²,

Wang³

et al. 2019

Chin. Sci. Bull.

Self Cite

View full text Add to dashboard Cite

“…The operative techniques were described as follows: Patients were placed in left lateral decubitus position, and the waist was blocked up to expose the upper flank to the greatest extent [ 1 , 2 ]. A 2-cm transverse incision was made about 3-cm cephalad to iliac crest.…”

Section: Case Presentationmentioning

confidence: 99%

“…We find that RPS has numerous potential advantages, including straightforward operative approach, simplified manipulation, and fluent postoperative drainage, which could significantly reduce the incidence of secondary complications related to pancreatic fistula [ 1 ]. However, narrow space and confined activity impede the safety and further application of RPS [ 2 ]. Compared to conventional laparoscopic and retroperitoneoscopic surgery, robotic surgery offers a clear and steady 3-D vision as well as the flexible and delicate operation with reduced hand tremor.…”

Section: Introductionmentioning

confidence: 99%

Preliminary clinical experience with robotic retroperitoneoscopic pancreatic surgery

Zhao

Wang

et al. 2018

World J Surg Onc

Self Cite

View full text Add to dashboard Cite

BackgroundsRetroperitoneoscopic surgery has shown advantages in urological surgery. However, its application in pancreatic surgery for neoplasm is rare. Robotic surgical system with its magnified view and flexible instruments may provide a superior alternative to conventional laparoscopic system in retroperitoneoscopic surgery. We aimed to evaluate the safety, feasibility, and short-term outcomes in a series of patients treated by robotic retroperitoneoscopic pancreatic surgery.Case presentationBetween March 2016 and May 2016, four patients with solitary pancreatic neuroendocrine neoplasms were treated with robotic retroperitoneoscopic surgery. Prospective collected clinical data were retrospectively analyzed. Three patients underwent distal pancreatectomy (one combined with resection of left adrenal adenoma), and one patient enucleation. The mean operative time was 80 min (range 30–110 min). The estimated blood loss was insignificant. There was no conversion to open procedure. The mean postoperative hospital stay was 5.25 days (range 4–6 days). The mean tumor size was 1.375 cm (range 1.0–1.8 cm) in diameter. All patients’ blood glucose level returned to normal range within 1 week postoperatively. Two patients had pancreatic biochemical leak. No patients underwent subsequent treatment, and no recurrence occurred during the 12-month follow-up period.ConclusionsThis study preliminarily indicates that robotic retroperitoneoscopic pancreatic surgery is safe and feasible for neoplasms in the dorsal portion of distal pancreas in selected patients, with some potential advantages of straightforward access, simple and fine manipulation, short operative time, and fast recovery.

show abstract

“…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].…”

Section: Variantes Endoscopiquesunclassified

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

Mohkam

Farges

Pruvot

et al. 2015

Journal de Chirurgie Viscérale

View full text Add to dashboard Cite

Pancréatectomie gauche ; Splénopancréatectomie gauche ; Laparoscopie ; Conservation splénique ; Conservation des vaisseaux spléniques Résumé La pancréatectomie gauche (PG) par abord laparoscopique est aujourd'hui une procédure validée : 25 études rétrospectives comparant laparotomie et laparoscopie ont démontré la faisabilité de cette voie d'abord pour les lésions bénignes et malignes localement peu avancées. Cependant, ces études rapportent de nombreuses variantes techniques et le but de cette mise au point est de déterminer si une standardisation peut être proposée pour cette procédure. À partir des données de la littérature et de l'expérience française de l'Association de chirurgie hépato-biliaire et de transplantation hépatique (ACHBT), il paraît licite d'établir certaines recommandations, telles que le contrôle premier de l'artère splénique, l'utilisation d'agrafeuses linéaires pour la section parenchymateuse pancréatique, le contrôle de la veine splénique à sa terminaison et/ou à son origine, la ligature et/ou section systématique de l'artère en cas de ligature de la veine splénique, et en fonction des conditions locales, la conservation des vaisseaux spléniques lorsqu'une conservation splénique est envisagée. Les données actuelles DOI de l'article original : http://dx. ARTICLE IN PRESSModele + 2 K. Mohkam et al. ne permettent en revanche pas d'émettre des recommandations concernant le site idéal de section pancréatique, le type d'installation, et le sens de dissection pancréatique, qui reste affaire d'école. Le contrôle de la veine splénique reste le point critique de cette intervention et va conditionner la stratégie peropératoire. Summary Laparoscopic distal pancreatectomy is currently a commonly performed procedure. Twenty-five retrospective studies comparing laparotomy and laparoscopy have dealt with the feasibility of this approach for localized benign and malignant tumors. However, these studies report several different techniques. The aim of this review was to determine if a standardized procedure could be proposed. Based on the literature and the experience of surgeons in the French Association of Hepatobiliary Surgery and Liver Transplantation (Association Française de Chirurgie Hépato-biliaire et de Transplantation Hépatique [ACBHT]), we recommend primary control of the splenic artery, use of linear staplers for pancreatic transection, splenic vein control either at its end or its origin, and, depending on local conditions, preservation of the splenic vessels when splenic preservation is envisioned. Current data do not allow establishment of any definitive recommendations as to the ideal site of pancreatic transection, operative patient position, or the direction of dissection, which mainly depends on local practices. Control of the splenic vein remains the critical point of this procedure, and impacts the intra-operative strategy. Points essentiels• Le contrôle premier de l'artère splénique permet de limiter le risque hémorragique au cours de la dissection pancréatique. • Le sens de la dissectio...

show abstract

Two Anatomical Pathways for Retroperitoneoscopic Pancreatectomy: Indications for the Posterior and Lateral Approaches

Cited by 5 publications

References 34 publications

Prognosis control surgery: From theory to practice

Prognosis control surgery: From theory to practice

Preliminary clinical experience with robotic retroperitoneoscopic pancreatic surgery

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

Contact Info

Product

Resources

About