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Laparoscopic pancreatic resections.

Attila Nakeeb1

  • 1Department of Surgery, Indiana University School of Medicine, 535 Barnhill Drive, Cancer Pavilion RT 130, Indianapolis, IN 46202, USA. anakeeb@iupui.edu

Advances in Surgery
|October 23, 2009
PubMed
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Laparoscopic pancreatic surgery offers acceptable outcomes for specific pancreatic conditions but requires advanced surgical skills. Its application in the head, neck, and uncinate process of the pancreas requires further investigation.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Minimally invasive surgical procedures are increasingly utilized for pancreatic disease management.
  • Laparoscopic pancreatic surgery represents an advanced technique demanding specialized expertise.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic pancreatic surgery.
  • To define the current role and limitations of laparoscopic approaches in pancreatic surgery.

Main Methods:

  • Review of early reports and outcomes of laparoscopic pancreatic procedures.
  • Analysis of morbidity and mortality associated with laparoscopic pancreatic resections and drainage.

Main Results:

  • Laparoscopic pancreatic surgery demonstrates acceptable morbidity and mortality for specific indications.

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  • Successful application noted for small benign/low-grade malignant lesions in the pancreatic body/tail and pseudocyst drainage.

    • Conclusions:

    • Laparoscopic pancreatic surgery is feasible for select pancreatic lesions and pseudocysts in experienced hands.
    • The efficacy of laparoscopic approaches for lesions in the pancreatic head, neck, and uncinate process remains undetermined.