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Laparoscopic pancreatic resections in two medium-sized medical centres
Gian Luca Baiocchi1, Edoardo Rosso2, Andrea Celotti3,4
1Department of Medical and Surgical Sciences, Surgical Clinic, University of Brescia, Brescia, Italy.
Updates in Surgery
|March 2, 2018
Summary
Minimally invasive pancreatic surgery, including distal pancreatectomy and pancreaticoduodenectomy, is feasible and safe in medium-volume centers. Laparoscopic approaches demonstrated good outcomes for pancreatic neoplasms.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Pancreatic neoplasms require surgical intervention, with minimally invasive techniques gaining traction.
- Assessing clinical outcomes of laparoscopic pancreatic resections in medium-volume centers is crucial for broader adoption.
Purpose of the Study:
- To evaluate the clinical outcomes of minimally invasive pancreatic surgery for various neoplasms.
- To determine the feasibility and safety of laparoscopic distal pancreatectomy and pancreaticoduodenectomy in medium-volume centers.
Main Methods:
- Retrospective chart review of 55 patients undergoing laparoscopic pancreatic surgery.
- Data extraction included resection type, blood loss, operation length, complications, and pathology.
- Systematic literature review of reported laparoscopic pancreatic surgery outcomes.
Main Results:
- No post-operative mortality was observed in the 55 cases.
- Pancreatic fistula rates were 64% for distal pancreatectomies and 22% for pancreaticoduodenectomies.
- Mean operating times were 178 minutes for distal pancreatectomy and 572 minutes for pancreaticoduodenectomy.
Conclusions:
- Laparoscopic distal pancreatectomy and pancreaticoduodenectomy are feasible and safe procedures.
- These minimally invasive techniques can be successfully performed in medium-volume pancreatic surgery centers.
- Further research may focus on optimizing outcomes and reducing complication rates, particularly pancreatic fistulas.
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