Laparoscopic pancreatic resection: a preliminary experience of 15 patients

Hepatogastroenterology. Jan-Feb 2005;52(61):230-2.

Abstract

Background/aims: Worldwide experience with laparoscopic pancreatic resection remains limited. The aim of the study was to assess the feasibility, safety and outcome of laparoscopic pancreatic resection.

Methodology: 15 consecutive patients suffering from benign cystic pancreatic (n=6), neuroendocrine tumors (n=8) or pancreatic metastasis from renal carcinoma (n=1) undergoing laparoscopic pancreatic resection were retrospectively collected from 5 academic hospitals.

Results: Laparoscopic procedure was completed in 10 patients, including 7 distal pancreatectomies (with 5 spleen preservation), 2 tumor enucleations and 1 partial cystic resection. Conversion was due to inappropriate operative finding for laparoscopic approach in 2 patients and for uncontrollable bleeding in 3 patients. Postoperative pancreatic-related complications included pancreatic fistula in 20% and peripancreatic collection in 13% of the patients.

Conclusions: Laparoscopic pancreatic resection is feasible for distal pancreatic tumors. However, successful management of the pancreatic stump remains the challenge of this procedure, in order to achieve a clear benefit in the patient outcome.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cystadenoma / surgery*
  • Female
  • Humans
  • Kidney Neoplasms / pathology
  • Laparoscopy*
  • Male
  • Middle Aged
  • Neuroendocrine Tumors / surgery*
  • Pancreatectomy*
  • Pancreatic Neoplasms / secondary
  • Pancreatic Neoplasms / surgery*
  • Retrospective Studies
  • Treatment Outcome