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Published on: June 17, 2018
Laparoscopic three-port distal pancreatectomy
Gokulakkrishna Subhas1, Natasha Gupta, Vijay K Mittal
1Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, USA.
Summary
A new three-port laparoscopic distal pancreatectomy offers a feasible and safe approach. This minimally invasive technique shows favorable operative times, reduced blood loss, and shorter hospital stays compared to traditional methods.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Laparoscopic distal pancreatectomy is increasingly utilized.
- Conventional techniques often require four to seven ports.
- Data on the three-port approach are limited.
Purpose of the Study:
- To present initial data on the feasibility, safety, and outcomes of a three-port laparoscopic distal pancreatectomy.
- To evaluate the efficacy of a reduced-port minimally invasive technique for pancreatic surgery.
Main Methods:
- A three-port technique was employed with specific trocar placements (10-mm Hassan, 5-mm midclavicular, 10-mm posterior axillary).
- Patients were positioned in a partial thoracoabdominal position.
- Specimen retrieval was performed through the anterior axillary line port.
Main Results:
- Seventeen patients (10 female, 7 male; mean age 61 years) underwent the procedure.
- Mean operative time was 170 minutes with a mean blood loss of 142 ml.
- No conversions or additional trocar placements were needed; mean post-operative stay was 4 days, with no pancreatic fistulas.
Conclusions:
- The three-port laparoscopic distal pancreatectomy is a safe and feasible procedure.
- This technique demonstrates comparable or improved outcomes regarding operative time, blood loss, and post-operative stay.
- A reduced-port approach offers advantages for laparoscopic distal pancreatectomy.
