Laparoscopic pancreatic surgery in patients with chronic pancreatitis

Fernández‐Cruz, Laureano; Saenz, A.; Astudillo, E.; Pantoja, Juan Pablo; Uzcátegui, Euderruh; Navarro, Salvador

doi:10.1007/s00464-001-9065-y

Cited by 66 publications

(62 citation statements)

References 37 publications

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“…[15] 5.9/8.6 a 0%/4.8% NS N/A 50%/46% 3.26/7.73 a 25%/42% a 0 N/A Nakamura et al [16] 10/25. [17] 6.2/9 N/A 14.2%/0% N/A N/A 2.3/3.8 0%/0% 0 N/A Eom et al [18] 11.5/13.5 a 0 35.5%/24.2% N/A 9.7%/6.5% 3.95/6.15 a 9.7%/6.5% N/A N/A Kim et al [19] 10/16 a 0 24.7%/29% N/A 8.6%/14.3% 3/3 0 N/A N/A Matsumoto et al [20] 12.9/23.8 a 0 7.1%/21.1% N/A 0%/10.5% 3.0/3.4 0 N/A N/A Misawa et al [21] 10/16 a 0 N/A N/A 0%/22% 7.5/2 0%/0% N/A N/A Tang et al [22] 7/11 0 33.3%/0% N/A 22.2%/0% N/A 0%/0% 0%/0% N/A Teh et al [23] 6.2/10.6 a 0 16.7%/56.2% a 0 8.3%/6.2% 3.4/3.4 0%/0% N/A N/A Velanovich et al [24] 5/8 a N/A 20%/27% N/A 13%/13% N/A 20%/32% N/A N/A Fernández-Cruz et al [25] 6 pancreaticoduodenectomy. A summary of series that compare the pre-operative, intra-operative and post-operative factors and outcomes in MIPD and OPD at their institutions is shown in Tables 3 and 4 [35][36][37][38] .…”

Section: Oncologic Outcomesmentioning

confidence: 99%

“…As a result, the application of laparoscopy to pancreatectomy has been slower compared to other abdominal procedures. As surgeons become more adept at advanced laparoscopy, there is increasing evidence demonstrating not only the safety and feasibility of laparoscopic pancreatic [3] 42/76 27.3/26.5 NS 35.7%/22.4% 304/281 375/375 11.9% Mehta et al [4] 30/30 N/A N/A 70%/30% a 188/226 294/729 a N/A Limongelli et al [5] 16/29 26.4/27.1 NS 31%/14% 204/160 a 160/365 a 6.0% Soh et al [6] 10/21 25/21 NS N/A 383/330 275/600 a N/A Butturini et al [7] 43/73 N/A N/A 44.2%/11% a 180/180 N/A 0.0% Cho et al [8] 254/439 NS NS 34%/10% a NS 24%/54% (> 300cc) 9.4% Aly et al [9] 40/35 21/21 N/A 32%/8% a 342/250 a 363/606 a 10.0% DiNorcia et al [10] 71/192 N/A NS 15.5%/15.6% 250/270 a 150/900 a 25.3% Jayaraman et al [11] 107/236 27/27 N/A 21%/14% 194/163 a 150/350 a 30.0% Kooby et al [12] 23/189 28.5/26.2 NS N/A 238/230 422/790 a 17.0% Vijan et al [13] 100/100 27.4/27.9 NS 25%/N/A 214/208 171/519 a 4.0% Baker et al [14] 27/85 N/A NS N/A 236/253 219.4/612.6 a 3.6% Finan et al [15] 44/104 28.3/26.9 NS 2%/2.7% 156/200 a 157/719 a 4.1% Nakamura et al [16] 21 [17] 7/4 29.5/29 N/A 100%/100% 182/152 214/362 0.0% Eom et al [18] 31 [19] 93 [20] 14/19 N/A NS N/A 290.7/213.8 a 247.1/400.3 7.0% Misawa et al [21] 8/9 N/A N/A 12.5%/0% 255/205 14/307 a 0.0% Tang et al [22] 9/5 N/A NS 55.6%/0% 180/210 100/450 a 0.0% Teh et al [23] 12 [24] 15/15 N/A N/A 0%/0% N/A N/A 20.0% Fernández-Cruz et al [25] 5/41…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic pancreatectomy: Indications and outcomes

Liang

Hameed

Jayaraman

2014

WJG

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The application of minimally invasive approaches to pancreatic resection for benign and malignant diseases has been growing in the last two decades. Studies have demonstrated that laparoscopic distal pancreatectomy (LDP) is feasible and safe, and many of them show that compared to open distal pancreatectomy, LDP has decreased blood loss and length of hospital stay, and equivalent post-operative complication rates and shortterm oncologic outcomes. LDP is becoming the procedure of choice for benign or small low-grade malignant lesions in the distal pancreas. Minimally invasive pancreaticoduodenectomy (MIPD) has not yet been widely adopted. There is no clear evidence in favor of MIPD over open pancreaticoduodenectomy in operative time, blood loss, length of stay or rate of complications. Robotic surgery has recently been applied to pancreatectomy, and many of the advantages of laparoscopy over open surgery have been observed in robotic surgery. Laparoscopic enucleation is considered safe for patients with small, benign or low-grade malignant lesions of the pancreas that is amenable to parenchyma-preserving procedure. As surgeons' experience with advanced laparoscopic and robotic skills has been growing around the world, new innovations and breakthrough in minimally invasive pancreatic procedures will evolve. Key words: Laparoscopy; Distal pancreatectomy; Pancreaticoduodenectomy; Robotic pancreatectomy; Enucleation Core tip: This review discusses recent advances in laparoscopic distal pancreatectomy (LDP), minimally invasive pancreaticoduodenectomy (MIPD), and enucleation. Recent studies show that LDP have improved perioperative recovery and equivalent oncologic outcomes. Studies on MIPD demonstrate that it is safe in terms of intra-operative outcomes, post-operative recovery and early oncologic outcomes; however, it requires advanced laparoscopic skills. Laparoscopic enucleation has become the operation of choice for small benign tumours that are away from the main pancreatic duct, especially insulinomas. We also summarize key results in pre-operative, perioperative and post-operative outcomes from contemporary series comparing open and laparoscopic pancreatic resections in the tables.

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Section: Oncologic Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopic pancreatectomy: Indications and outcomes

Liang

Hameed

Jayaraman

2014

WJG

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“…By using a laparoscopic approach for this indication, Fernández-Cruz et al [7] could reduce the hospital stay of 7 patients with inflammatory tumors in chronic pancreatitis to 1 week and patients could return to normal activities within 3 weeks [9]. In contrast, hospital stay was 12 days in open left resection and patients returned to normal activities after >5 weeks.…”

Section: Distal Pancreatectomymentioning

confidence: 99%

“…A number of recent studies have shown impressively that almost all open procedures may be performed laparoscopically as well [7]. Besides the sole aspect of technical feasibility, questions remain as to whether the laparoscopic approach offers any benefit for the patient.…”

Section: Current State Of Minimally Invasive Pancreatic Surgerymentioning

confidence: 99%

Minimally Invasive Surgery for Pancreatic Disease - Current Status

et al. 2016

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Laparoscopic procedures have advanced to represent the new gold standard in many surgical fields. Although application in pancreatic surgery is hampered by the friable nature of the gland and the difficulty of its exposure, advanced technology and surgeons' experience are leading to an expansion of minimally invasive pancreatic surgery. Addressing the whole range of main operative procedures, this review analyzes the literature data so far to give an overview about the current status of minimally invasive pancreatic surgery, its indications and limitations. In acute pancreatitis, a step-up approach from percutaneous drainage to retroperitoneoscopic necrosectomy seems beneficial. Transgastric necrosectomy also preserves the retroperitoneal compartment in contrast to the laparoscopic approach, which has widely been abandoned. In tumor pathology, laparoscopic access is adequate for small benign lesions in the pancreatic tail and body. Oncological outcome shows to be at least equal to the open procedure. Concerning laparoscopic pancreaticoduodenectomy, there is no evidence for a patients' benefit currently although several studies prove that it can be done.

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“…The purpose is to create a large pseudocyst enterostomy and to perform the debridement of the pseudocyst contents. Three types of approaches may be used for internally draining large retrogastric pseudocysts, namely endogastric (57,(59)(60)(61)(62)(63)(64)(65), transgastric (57,64,66,67) or extragastric (57,58,68) approach. The transgastric approach involves establishing the access to the posterior gastric wall through an anterior gastrectomy.…”

Section: Introductionmentioning

confidence: 99%

Therapeutical Aspects Regarding Pancreatic Pseudocysts

David¹,

Grigorean²

2018

chr

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Chirurgia, 113 (3), 2018 www.revistachirurgia.ro 353 RezumatFrecvent apărute că şi complicaţii ale pancreatitei, pseudochistele pancreatice sunt entităţi rare, pentru tratamentul cărora s-au dezvoltat de-a lungul timpului multiple tehnici terapeutice, variind de la metode minim invazive la tehnici complexe de chirurgie clasică. Pseudochistele simptomatice, cele de mari dimensiuni precum şi cele ce suferă complicaţii evolutive de timpul hemoragiei, suprainfectiei şi rupturii au indicaţie de drenaj. Alegerea metodei optime de drenaj este deseori o provocare, multiplii factori trebuind să fie luaţi în considerare, incluzând locaţia pseudochistului, dimensiunea precum şi starea generală a pacientului şi comorbidităţile acestuia. Astfel, elaborarea unui algoritm terapeutic ar fi de o utilitate incontestabilă, conferind posibilitatea alegerii unei tehnici fezabile leziunii însă adaptată pacientului.Cuvinte cheie: pancreas, pseudochist, tratament, drenaj AbstractFrequently appearing as a complication of pancreatitis, pancreatic pseudocysts are rare appearances in current medical practice. Multiple therapeutical options are available, from minimum invasive methods to complex open surgical techniques. The indications of drainage include symptomatic pseudocysts, large pseudocysts along with the development of complications such as hemorrhage, secondary infection, and rupture. Choosing the best drainage technique is often a challenge. Multiple factors need to be considered in managing a pseudoocyst, including its location, dimension and the patient's

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Laparoscopic pancreatic surgery in patients with chronic pancreatitis

Cited by 66 publications

References 37 publications

Laparoscopic pancreatectomy: Indications and outcomes

Laparoscopic pancreatectomy: Indications and outcomes

Minimally Invasive Surgery for Pancreatic Disease - Current Status

Therapeutical Aspects Regarding Pancreatic Pseudocysts

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