Therapeutic Laparoscopy of the Pancreas

Park, Adrian E.; Heniford, B. Todd

doi:10.1097/00000658-200208000-00002

Cited by 183 publications

(161 citation statements)

References 30 publications

Supporting

Mentioning

147

Contrasting

Unclassified

Order By: Relevance

“…A variety of pancreatic lesions, such as acinar-cell tumors, squamous-cell carcinomas, islet-cell tumors, cystic neoplasms, and adenocarcinomas, are most often treated by surgical resection. 1 The rationale for minimally invasive pancreatic resections relies in evidences that lesser perioperative trauma in laparoscopy is advantageous, when compared to the open approach. This reduction results in decreased inflammatory response, preservation of the immune function, and perhaps even a reduction of malignant recurrence.…”

Section: Introductionmentioning

confidence: 99%

Robotic Resection of Intraductal Neoplasm of the Pancreas

Machado

Makdissi

Surjan

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

Background: Minimally invasive techniques have been revolutionary and provide clinical evidence of decreased morbidity and comparable efficacy to traditional open surgery. Computer-assisted surgical devices have recently been approved for general surgical use. Aim: The aim of this study was to report the first known case of pancreatic resection with the use of a computerassisted, or robotic, surgical device in Latin America. Patient and Method: A 37-year-old female with a previous history of radical mastectomy for bilateral breast cancer due to a BRCA2 mutation presented with an acute pancreatitis episode. Radiologic investigation disclosed an intraductal pancreatic neoplasm located in the neck of the pancreas with atrophy of the body and tail. The main pancreatic duct was enlarged. The surgical decision was to perform a laparoscopic subtotal pancreatectomy, using the da Vinci Ò robotic system (Intuitive Surgical, Sunnyvale, CA). Five trocars were used. Pancreatic transection was achieved with vascular endoscopic stapler. The surgical specimen was removed without an additional incision. Results: Operative time was 240 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4. Conclusions: The subtotal laparoscopic pancreatic resection can safely be performed. The da Vinci robotic system allowed for technical refinements of laparoscopic pancreatic resection. Robotic assistance improved the dissection and control of major blood vessels due to three-dimensional visualization of the operative field and instruments with wrist-type end-effectors.

show abstract

Section: Introductionmentioning

confidence: 99%

Robotic Resection of Intraductal Neoplasm of the Pancreas

Machado

Makdissi

Surjan

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…29 Success with laparoscopic pseudocyst drainage also has been described, but data still are limited because of a relatively small number of patients. 30 As mentioned earlier, excellent success rates have been reported with percutaneous drainage but these usually involve an extended period of external drainage and significant rates of pancreatic-cutaneous fistulas. 31,32 The success rate of endoscopic drainage of the necrosis was significantly lower when compared with other types of collections (25% versus 92.6%).…”

Section: Discussionmentioning

confidence: 89%

Endoscopic management of pancreatic pseudocyst

Sharon¹

2017

Int Surg J

View full text Add to dashboard Cite

INTRODUCTIONPancreatic pseudocyst is a well-known complication of acute or chronic pancreatitis. Management of pancreatic pseudocyst has changed from traditional surgical management to less invasive techniques and conservative management. Pancreatic pseudocysts are collections of pancreatic fluid contained by a wall of fibrous tissue, ABSTRACTBackground: Pancreatic pseudocyst is a well-known complication of acute or chronic pancreatitis, with a higher incidence in the latter. It represents 80-90% of cystic lesions of the pancreas. Benign and malignant cystic neoplasms constitute 10-13%, congenital and retention cysts comprising the remainder. Diagnosis is accomplished most often by computed tomographic scanning, by endoscopic retrograde cholangiopancreatography, or by ultrasound, and a rapid progress in the improvement of diagnostic tools enables detection with high sensitivity and specificity. Endoscopic drainage provides a good alternative or supplement to a surgical treatment of pancreatic pseudocysts. Methods: This is a prospective study of 26 patients diagnosed to have Pancreatic Pseudocyst and treated by endoscopic drainage from 1 st June 2008 to 30 th September 2010 in St. John's Medical College and Hospital, Bangalore. Transabdominal and endoscopic ultrasound, CT scan were used to determine the number, size, volume, wall thickness, location of pancreatic pseudocysts, the extent of pancreatic parenchymal disease, the nature of the main pancreatic duct and its relationship to the cyst, the presence of portal hypertension, venous occlusion, arterial anomalies and pseudoaneurysm. The indications for endoscopic drainage were symptomatic and/or bigger than 6 cm in major diameter pancreatic pseudocysts with a close opposition to the gastric or duodenal wall. Results: There were 26 patients with pancreatic pseudocyst and all of them are located in lesser sac. It mainly affects the middle-aged males with alcohol as the main etiology. Out of 26 patients 24 underwent endoscopic drainage and 2 patients were abandoned in view of vessel between the cyst wall and stomach which was picked up by EUS. Out of 26 patients, 5 developed infection which was proven by culture. Endoscopic cystogastrostomy was performed in 21 patients (80.8%), endoscopic cystogastrostomy with nasocystic drainage performed in 3 patients (11.5%), and abandoned in 2 patients. 2 patients developed bleeding, and managed conservatively. No intervention done. 5 patients underwent re-procedure (3 underwent nasocystic drainage, 1 aspiration, and the other cystogastrostomy), in view of recollection. Conclusions: Endoscopic drainage is safe and effective in experienced hand, less morbidity, cost effective, short hospital stay, can be repeated.

show abstract

“…14,15 The use of a linear stapler as a method of cutting the pancreatic tissue and the formation of a pancreatic stump is strongly recommended. 16,17 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of the Pancreatic Tail with Preservation of the Spleen in a Patient with a Large Pseudopapillary Tumor of the Pancreas

Dimov¹,

Kantchev²,

Boev³

et al. 2014

Folia Medica

View full text Add to dashboard Cite

Laparoscopic resections of the pancreas have gained in popularity in the last few years. Those preserving the integrity of the spleen are performed very rarely and are a challenge for every surgeon. We hereby report a case of laparoscopic resection of the pancreatic tail with preservation of the spleen and the integrity and the blood supply to the spleen in a 26 year-old patient with a large pseudopapillary tumor of the pancreas. Postoperative recovery was quick and without complications. The functional and aesthetic result was satisfactory. Laparoscopic resection of the pancreas is a safe and effective therapeutic procedure in selected patients. Key words: laparoscopic resection, pseudopapillary tumor of the pancreasFolia Medica 2014; 56(1): 56-59 Copyright © 2014 Medical University, Plovdiv РЕЗЮМЕ За последние годы лапараскопические резекции поджелудочной железы стали особо популярными. Резекции со сохранением целостности селезенки выполняются очень редко и представляют своего рода провокацию для каждого хирурга. Авторы сообщают о случае лапароскопической резекции каудальной части поджелудочной железы со сохранением целостности и кровообращения селезенки у 26-илетней пациентки с большой псевдопапиллярной опухолью панкреаса. Постоперативное восстановление протекло быстро и без осложнений. Функциональный и эстетический результаты налицо. Лапароскопические резекции поджелудочной железы являются безопасными и эффективными лечебными процедурами у селективных больных. Folia Medica 2014; 56(1): 56-59 Ключевые слова: лапараскопическая резекция, псевдопапиллярная опухоль панкреаса

show abstract

Therapeutic Laparoscopy of the Pancreas

Cited by 183 publications

References 30 publications

Robotic Resection of Intraductal Neoplasm of the Pancreas

Robotic Resection of Intraductal Neoplasm of the Pancreas

Endoscopic management of pancreatic pseudocyst

Laparoscopic Resection of the Pancreatic Tail with Preservation of the Spleen in a Patient with a Large Pseudopapillary Tumor of the Pancreas

Contact Info

Product

Resources

About