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Related Experiment Video

Updated: May 18, 2026

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
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Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

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Distal pancreatectomy using a no-touch isolation technique.

M Hirota1, D Hashimoto, T Ishiko

  • 1Department of Surgery, Kumamoto Regional Medical Center, Kumamoto-city, Kumamoto, Japan. mhirota@krmc.or.jp

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|September 13, 2012
PubMed
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A novel no-touch distal pancreatectomy (DP) technique aims to reduce recurrence rates for pancreatic body and tail cancers. This pilot study demonstrates the technique is feasible without worsening post-operative outcomes.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Distal pancreatectomy (DP) is the primary treatment for pancreatic body and tail cancers.
  • High recurrence rates following DP remain a significant clinical challenge.

Purpose of the Study:

  • To evaluate the technical feasibility of a novel "no-touch" surgical technique for distal pancreatectomy.
  • To assess if this no-touch DP technique impacts post-operative prognosis.

Main Methods:

  • A single surgeon performed the no-touch DP technique on 16 patients with pancreatic ductal adenocarcinoma.
  • Key elements include avoiding manipulation of the pancreas and early ligation of drainage vessels.
  • Dissection utilized hanging maneuvers and retroperitoneal approaches behind Gerota's fascia.

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Last Updated: May 18, 2026

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

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Published on: February 2, 2022

Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy
09:32

Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy

Published on: May 5, 2023

Main Results:

  • All patients achieved free posterior and rightward resection margins.
  • Anterior serosal invasion was observed in seven patients.
  • The no-touch technique did not appear to deteriorate post-operative prognosis.

Conclusions:

  • The no-touch distal pancreatectomy technique shows theoretical advantages for managing pancreatic body and tail cancers.
  • Further investigation in randomized controlled trials is warranted to confirm these findings.