Background
Medial pancreatectomy is an alternative technique for benign or low-grade malignant
tumors of the neck of the pancreas. We describe our experience of laparoscopic central
pancreatectomy.
Methods
We conducted a prospective evaluation of laparoscopic pancreatic resection in the
Department of Abdominal Surgery at Haut-Lévêque Hospital, CHU Bordeaux. From January
1999 until February 2006, 397 patients underwent pancreatic resection for pancreatic
lesions, of whom 60 (15%) were enrolled for laparoscopic pancreatic resection. Of
the 60 patients, 6 underwent laparoscopic central pancreatectomy. Surgical procedure,
postoperative course, and follow-up data were collected.
Results
Laparoscopic central pancreatectomy was successful in all patients. In 1 case, we
had to perform a laparotomy to find the specimen, which had been lost in the cavity
during the anastomosis. The median operative time was 225 minutes (range, 180 to 365
minutes). None of the patients required blood transfusion in the perioperative period,
and there was no mortality. Symptomatic pancreatic fistula occurred in 2 patients
(33%). None of the patients required reoperation or radiologic drainage. Oral feeding
was resumed in a median of 11 days (range, 9 to 21 days). The median postoperative
hospital stay was 18 days (range, 15 to 25 days). At a median follow-up of 15 months
(range, 4 to 34 months), all patients were alive without exocrine or endocrine insufficiency.
Conclusions
Laparoscopic central pancreatectomy is feasible and safe. Laparoscopic central pancreatectomy
may become the standard approach for resection of benign or low-grade malignant tumors
of the neck of the pancreas if performed by highly skilled surgeons.
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Article info
Publication history
Accepted:
January 27,
2007
Identification
Copyright
© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
