Laparoscopic Intracorporeal Pancreaticogastrostomy in Total Laparoscopic Pancreaticoduodenectomy—A Novel Anastomotic Technique

Puntambekar, Shailesh; Mehta, Mehul; Manchekar, Manoj; Chitale, Mihir; Panse, Mangesh; Jathar, Advait; Umalkar, Rohan

doi:10.1007/s13193-018-0829-4

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…Some modifications of duct-to-mucosal PJ were associated with reduced rates of POPF and postoperative complications, for instance, Blumgart anastomosis (83,91) and Bing's anastomosis (90). Similarly, certain modifications of pancreaticogastrostomy were also shown as safe and feasible procedures (92,93).…”

Section: Section 3: Techniquementioning

confidence: 99%

International expert consensus on laparoscopic pancreaticoduodenectomy*

Qin¹,

Kendrick²,

Wolfgang³

et al. 2020

Hepatobiliary Surg Nutr

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Importance: While laparoscopic pancreaticoduodenectomy (LPD) is being adopted with increasing enthusiasm worldwide, it is still challenging for both technical and anatomical reasons. Currently, there is no consensus on the technical standards for LPD.Objective: The aim of this consensus statement is to guide the continued safe progression and adoption of LPD.Evidence Review: An international panel of experts was selected based on their clinical and scientific expertise in laparoscopic and open pancreaticoduodenectomy. Statements were produced upon reviewing the literature and assessed by the members of the expert panel. The literature search and its critical appraisal were limited to articles published in English during the period from 1994 to 2019. The Web of Science, Medline, and Cochrane Library and Clinical Trials databases were searched, The search strategy included, but was not limited to, the terms 'laparoscopic', 'pancreaticoduodenectomy, 'pancreatoduodenectomy', 'Whipple's operation', and 'minimally invasive surgery'. Reference lists from the included articles were manually checked for any additional studies, which were included when appropriate. Delphi method was used to establish expert consensus and the AGREE II-GRS Instrument was applied to assess the methodological quality and externally validate the final statements. The statements were further discussed during a one-day face-to-face meeting at the 1 st Summit on Minimally Invasive Pancreatico-Biliary Surgery in Wuhan, China.Findings: Twenty-eight international experts from 8 countries constructed the expert panel. Sixteen statements were produced by the members of the expert panel. At least 80% of responders agreed with the majority (80%) of statements. Other than three randomized controlled trials published to date, most evidences were based on level 3 or 4 studies according to the AGREE II-GRS Instrument. Conclusions and Relevance:The Wuhan international expert consensus meeting on LPD has produced a set of clinical practice statements for the safe development and progression of LPD. LPD is currently in its development and exploration stages, as defined by the international IDEAL framework for surgical innovation. More robust randomized controlled trial and registry study are essential to proceed with the assessment of LPD.

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Section: Section 3: Techniquementioning

confidence: 99%

International expert consensus on laparoscopic pancreaticoduodenectomy*

Qin¹,

Kendrick²,

Wolfgang³

et al. 2020

Hepatobiliary Surg Nutr

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Mini-invasive pancreaticogastrostomy

Rosso¹,

Zimmitti²,

Iannelli³

et al. 2021

Laparosc Surg

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Central Pancreatectomy – A Novel Surgical Technique Single Institution Experience

Raghul,

Nathan,

Hariharan

et al. 2024

Journal of Indian Association of Pediatric Surgeons

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Aims: Children evaluated for abdominal pain are increasingly recognized to have pancreatic lesions by imaging modalities. Malignant lesions of the pancreas have also been diagnosed at regular intervals, the most common being solid cystic pseudopapillary neoplasm (SPT) – Borderline (uncertain malignant potential). Surgical resection of this tumor should provide adequate tumor free margins and also should preserve pancreatic tissue. Radical resection of the pancreas will lead to pancreatic insufficiency. Herein, we describe the technique of central pancreatectomy wherein tumor excision gives adequate clearance but preserves the pancreatic tissue, thereby reducing significant morbidity. Materials and Methods: Three children ages ranging between 11 to 12 years diagnosed to have SPT were included in the study. Results: All children underwent successful central pancreatectomy and had an uneventful post operative recovery. Conclusion: Central pancreatectomy offers a good volume of remanant pancreas preserving near normal pancreatic function making it an ideal procedure for select cases.

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Laparoscopic Intracorporeal Pancreaticogastrostomy in Total Laparoscopic Pancreaticoduodenectomy—A Novel Anastomotic Technique

Cited by 3 publications

References 29 publications

International expert consensus on laparoscopic pancreaticoduodenectomy*

International expert consensus on laparoscopic pancreaticoduodenectomy*

Mini-invasive pancreaticogastrostomy

Central Pancreatectomy – A Novel Surgical Technique Single Institution Experience

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