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Laparoscopic pancreatic surgery.

A Park¹, R Schwartz, V Tandan

¹Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0298, USA.

American Journal of Surgery

|April 16, 1999

Summary

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Laparoscopic surgery shows promise for pancreatic disease management, including staging, palliation, and resections. While beneficial for some procedures like distal resections and pseudocyst decompression, its role in staging is limited by advanced imaging.

Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery
Surgical Oncology

Background:

Laparoscopic surgery offers potential applications in pancreatic disease management.
These include staging, palliation, resection, and drainage procedures for pancreatic malignancies and benign conditions.

Purpose of the Study:

To review the literature on laparoscopic pancreatic surgery.
To present original data on laparoscopic pancreatic distal resections and cystogastrostomies.

Main Methods:

Literature review.
Analysis of original data from 5 laparoscopic pancreatic distal resections.
Analysis of original data from 10 laparoscopic cystogastrostomies.

Main Results:

Related Experiment Videos

Laparoscopy may aid in staging pancreatic malignancies, but its utility is limited (around 5%) with high-quality preoperative imaging.
Laparoscopic gastroenterostomy is effective for palliation of gastrointestinal obstruction.
Laparoscopic distal pancreatic resection and pseudocyst decompression appear beneficial for patients.

Conclusions:

Laparoscopic approaches are viable for palliation (gastroenterostomy) and certain resections (distal pancreatic resection) and drainage (pseudocyst decompression).
Choledochoenterostomy is technically challenging for palliation.
The role of laparoscopy in staging pancreatic cancer is limited.