Laparoscopic distal pancreatectomy： Up-to-date and literature review

Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatectomy （LDP） has gained world-wide acceptance because it does not require anastomosis...

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Published inWorld journal of gastroenterology : WJG Vol. 18; no. 38; pp. 5329 - 5337
Main Authors Iacobone, Maurizio, Citton, Marilisa, Nitti, Donato
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 14.10.2012
Subjects
Humans
Laparoscopy - methods
LDP
Pancreatectomy - methods
Pancreatic Diseases - surgery
Postoperative Complications - prevention & control
Topic Highlight
Treatment Outcome
切除术
挑战性
肿瘤患者
胰腺癌
腹腔镜
英文文献
远端
Splenectomy
Open pancreatectomy
Pancreas resection
Pancreatic fistula
Laparoscopic distal pancreatectomy
Left pancreatectomy
Spleen-preserving technique
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Summary:Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatectomy （LDP） has gained world-wide acceptance because it does not require anastomosis or other reconstruction. To date, English literature reports more than 300 papers focusing on LDP, but only 6% included more than 30 patients. Literature review confirms that LDP is a feasible and safe procedure in patients with benign or low grade malignancies. Decreased blood loss and morbidity, early recovery and shorter hospital stay may be the main advantages. Several concerns still exist for laparoscopic pancreatic adenocarcinoma excision. The individual surgeon determines the technical conduction of LDP, with or without spleen preservation; currently robotic pancreatic surgery has gained diffu- sion. Additional researches are necessary to determine the best technique to improve the procedure results.
Bibliography:Pancreas resection Laparoscopic distal pancreatectomy Left pancreatectomy Open pan- createctomy Pancreatic fistula Splenectomy Spleen- preserving technique
14-1219/R
Pancreatic surgery represents one of the most challenging areas in digestive surgery. In recent years, an increasing number of laparoscopic pancreatic procedures have been performed and laparoscopic distal pancreatectomy （LDP） has gained world-wide acceptance because it does not require anastomosis or other reconstruction. To date, English literature reports more than 300 papers focusing on LDP, but only 6% included more than 30 patients. Literature review confirms that LDP is a feasible and safe procedure in patients with benign or low grade malignancies. Decreased blood loss and morbidity, early recovery and shorter hospital stay may be the main advantages. Several concerns still exist for laparoscopic pancreatic adenocarcinoma excision. The individual surgeon determines the technical conduction of LDP, with or without spleen preservation; currently robotic pancreatic surgery has gained diffu- sion. Additional researches are necessary to determine the best technique to improve the procedure results.
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Telephone: +39-4-98211815 Fax: +39-4-98211378
Correspondence to: Marilisa Citton, MD, Minimally Invasive Endocrine Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Via Giustiniani 2, 35128 Padova, Italy. marilisa.citton@libero.it
Author contributions: Iacobone M was responsible for conception and design, analysis and interpretation of data, drafting the article and revising it critically for important intellectual content, final approval of the version to be published; Citton M was responsible for conception and design, acquisition, analysis and interpretation of data, drafting the article and revising it, critically for important intellectual content, final approval of the version to be published; Nitti D was responsible for conception and design; analysis and interpretation of data, drafting the article and revising it critically for important intellectual content, final approval of the version to be published.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v18.i38.5329