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Related Experiment Videos

Laparoscopic distal pancreatic resection.

Jeff Root1, Ninh Nguyen, Blanding Jones

  • 1Division of Hepatobiliary and Pancreatic Surgery, UC Irvine Medical Center, Orange, California 92868, USA.

The American Surgeon
|February 14, 2006
PubMed
Summary
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Laparoscopic distal pancreatectomy (LDP) is a feasible surgical option for pancreatic tumors, demonstrating low morbidity in a US pilot study. This minimally invasive approach shows potential for safe and effective treatment with acceptable operative times.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic distal pancreatectomy (LDP) has limited published data from the United States.
  • Previous European and Japanese studies suggest LDP's potential utility for pancreatic tumors.

Purpose of the Study:

  • To assess the feasibility and safety of laparoscopic distal pancreatectomy (LDP) in a US patient cohort.
  • To evaluate the outcomes and morbidity associated with LDP.

Main Methods:

  • A pilot program included 11 patients undergoing LDP between December 2003 and December 2004.
  • Preoperative staging included endoscopic ultrasound; procedures involved diagnostic laparoscopy and intraoperative ultrasound.
  • Indications included neuroendocrine tumors, unspecified tumors, and cystic neoplasms.

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Main Results:

  • LDP was completed laparoscopically in 7 of 8 attempted cases (two with hand-assist).
  • Average operative time was 5 hours 3 minutes; average length of stay was 5 days.
  • Splenectomy rate was 57%, with one complication (infected hematoma) and no pancreatic leaks, deaths, or readmissions.

Conclusions:

  • Laparoscopic distal pancreatectomy (LDP) is a feasible procedure in the US.
  • LDP can be performed with minimum morbidity and only a slight increase in operative time.
  • This approach shows promise for treating various pancreatic neoplasms.