Preferences help
enabled [disable] Abstract
Number of results
2013 | 85 | 10 | 589-597
Article title

Laparoscopic Distal Pancreatectomy – New Standard In The Pancreatic Surgery

Title variants
Languages of publication
The improvement of laparoscopic techniques that we witnessed over the last decade, also applied to pancreatic surgery. Both worldwide and in Poland, increasingly more patients with lesions located within the body and tail of the pancreas are treated using laparoscopic distal pancreatectomy. The aim of the study was to compare the outcomes of laparoscopic and open distal pancreatectomy. Material and method. Between January 2009 and March 2013, 107 patients underwent distal pancreatectomy at a single institution: 39 using laparoscopic technique and 68 using open technique. This was a retrospective study. Results. There were no significance differences with regard to duration of the surgical procedure, duration of hospitalization and complication rate between both groups. Statistically significant difference was found for the incidence of spleen preservation in patients undergoing laparoscopy, due to better visualization of the structures. In the group of patients with pancreatic cancer there was no significance difference in the incidence of malignancy found in the surgical margin. Our results are similar to that presented in the literature. Conclusions. Laparoscopic distal pancreatectomy is a safe method, with a higher rate of spleen preservation among the patients with the lesion located in the body and tail of the pancreas.
Physical description
1 - 10 - 2013
01 - 12 - 2013
  • 1. McClusky DA, Skandalakis LJ, Colborn G L et al.: Harbinger or hermit? Pancreatic anatomy and surgery through the ages - part 2. World J Surg 2002; 26: 1370-81.[Crossref]
  • 2. Von Mikulicz-Radecki J: Surgery of the pancreas. Ann Surg 1903; 38: 1.
  • 3. Gagner M, Pomp A: Laparoscopic pyloruspreserving pancreatoduodenectomy. Surg Endosc 1994; 8: 408-10.[Crossref]
  • 4. Naitoh T, Garcia-Ruiz A, Vladisavljevic A: Gastrointestinal transit and stress response after laparoscopic versus conventional distal pancreatectomy in the canine model. Surg Endosc 2002; 16: 1627-30.[Crossref]
  • 5. Gigot J-F: Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 2005; 137: 597-605.
  • 6. Velanovich V: Case-control comparison of laparoscopic versus open distal pancreatectomy. JGastrointest Surg 2006; 10: 95-98.[Crossref]
  • 7. Fernandez-Cruz L: Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreas. J GastrointestSurg 2004; 8: 493-501.[Crossref]
  • 8. Mehta SS , Doumane G, Mura T, Nocca D, FabreJM: Laparoscopic versus open distal pancreatectomy: a single-institution case-control study. SurgEndosc 2012; 26(2): 402-07.
  • 9. Kooby DA, Hawkins WG, Schmidt CM et al.: A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? J Am Coll Surg 2010; 210(5): 779-85, 786-87.
  • 10. Nakamura Y, Uchida E, Aimoto T et al.: Clinical outcome of laparoscopic distal pancreatectomy. Hepatobiliary Pancreat Surg 2009; 16(1): 35-41.[Crossref]
  • 11. Taylor C, O’Rourke N, Nathanson L et al.: Laparoscopic distal pancreatectomy: the Brisbane experience of forty-six cases. HPB (Oxford). 2008; 10(1): 38-42.
  • 12. Eom BW , Jang JY, Lee SE et al.: Clinical outcomes compared between laparoscopic and open distal pancreatectomy. Surg Endosc 2008; 22(5): 1334-38.[Crossref][PubMed]
  • 13. Warshaw AL : Conservation of the spleen with distal pancreatectomy. Arch Surg 1988; 123: 550-53.
  • 14. Kimura LS , Inoue T, Futakawa N: Spleen preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery 1996; 120: 885-90.[WoS]
  • 15. Schwartz PE, Sterioff S, Mucha P: Postsplenectomy sepsis and mortality in adults. JAMA 1982; 248: 2279-83.
  • 16. Lillemoe KD, Kaushal S, Cameron JL: Distal pancreatectomy: indications and outcomesin 235 patients. Ann Sur 1999; 229(5): 693-700.
  • 17. Rattner DW, Warshaw AL : T en-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization. Arch Sur 2001; 136: 391-98.
  • 18. Strasberg SM, Linehan DC, Clavien PA: Proposal for definition and severity grading of pancreatic anastomosis failure and pancreatic occlusion failure. Surgery 2007; 141: 420-26.[WoS]
  • 19. Bassi C: Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 2005; 138: 8-13.[WoS]
  • 20. Takeuchi K: Distal pancreatectomy: is staple closure beneficial? ANZ J Surg 2003; 73: 922-25.
  • 21. Bilimoria MM, Cormier JN, Mun Y: Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation. Br J Surg 2003; 90: 190-96.
  • 22. Knaebel HP, Diemer MK, Weale MN: Systematic review and meta-analysis of techniquefor closure of the pancreatic remnant after distal pancreatectomy. Br J Surg 2005; 92: 539-46.
  • 23. Shibata S: Outcomes and indications of segmental pancreatectomy: comparison with distal pancreatectomy. Digestive Surg 2004; 21: 48-53.
  • 24. Shimada K, Sakamoto Y, Sano T: Prognostic factors after distal pancreatectomy with extended lymphadenectomy for invasive pancreatic adenocarcinoma of the body and tail. Surgery 2006; 139: 288-95.
  • 25. Clavien P, Sanabria J, Strasberg S: Proposed classification of complication of surgery with examples of utility in cholecystectomy. Surgery 1992; 11(5): 518-26.
  • 26. Bassi C, Devenis C, Butturini G, Fingerhut A et al.: Postoperative pancreatic fistula: An international study group (ISGPF) definition. Surg 2008; 139: 8-12.
  • 27. Bernheim BM: Organoscopy. Cystoscopy of the abdominal cavity. Ann Surg 1911; 153: 764-67.
  • 28. Nakeeb A: The role of minimally invasive surgery for pancreatic pathology. Adv Surg 2005; 139: 455-70.
  • 29. Kooby DA, Hawkins WG, Schmidt CM et al.: A multicenter analysis of distal pancreatectomy for adenocarcinomas: is laparoscopic resection appropriate? J Am Coll Surg 2010; 210(5): 779-85, 786-87.
  • 30. Mabrut JY, Fernandez-Cruz L, Santiago AzagraJ: Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 2005; 137: 597-605.
  • 31. Park AE , Heniford BT: Therapeutic laparoscopy of the pancreas. 2002; Ann Surg 236: 149-58.
  • 32. Patterson EJ, Gagner M, Salky B: Laparoscopic pancreatic resection: single-institution experience of 19 patients. J Am Coll Surg 2001; 193: 281-87.
  • 33. Edwin B, Mala T, Mathisen O: Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome. Surg Endosc 2004; 18: 407-11.[PubMed][Crossref]
  • 34. Lillemoe KD, Kaushal S, Cameron JL: Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg 1999; 229: 693-98.
  • 35. John A: Stauffer Comparison of open with laparoscopic distal pancrestectomy: a single institution’s transition over a 7-year period. HPB (Oxford). 2013; 15(2): 149-55.
  • 36. Soh YF, Kow AW , Wong KY et al.: Perioperative outcomes of laparoscopic and open distal pancreatectomy: Our institution’s 5-year experience. Asian J Surg 2012; 35(1): 29-36.[Crossref]
  • 37. Winer J, Can MF, Bartlett DL et al.: The current state of robotic-assisted pancreatic surgery. NatRev Gastroenterol Hepatol 2012; 9(8): 468-76. [WoS][Crossref]
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.