Laparoscopic approach of the left side of the pancreas
Introduction: Laparoscopic left-sided pancreatectomy (LLP) is an increasingly used surgical technique for the treatment of benign and malignant lesions of the left side of the pancreas. The results of LLP as a treatment for primary pancreatic lesions of the head and tail of the pancreas were evaluat...
| Autores: | , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2019 |
| País: | España |
| Recursos: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repositorio: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p3297 |
| Acesso em linha: | https://fisabio.portalinvestigacion.com/publicaciones/3297 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061637561&doi=10.1016%2fj.ciresp.2018.12.009&partnerID=40&md5=89d9adc10bd2cc9ab8c2aeacd41b5e69 |
| Access Level: | acceso abierto |
| Palavra-chave: | Pancreatectomy Distal pancreatectomy Left pancreatectomy Spleno-pancreatectomy Laparoscopy Pancreatic fistula Pancreatic cancer Pancreatic neuroendocrine tumors |
| Resumo: | Introduction: Laparoscopic left-sided pancreatectomy (LLP) is an increasingly used surgical technique for the treatment of benign and malignant lesions of the left side of the pancreas. The results of LLP as a treatment for primary pancreatic lesions of the head and tail of the pancreas were evaluated. Methods: From November 2011 to November 2017, 18 patients underwent surgery for primary lesions of the pancreas by means of a laparoscopic distal pancreatectomy. An intra-abdominal drain tube was used in all cases, and the recommendations of the International Study Group for Pancreatic Fistula (ISGPF) were followed. Results: The mean age was 66.5 years (IQR 46-74). Among the 18 left pancreatectomies performed, four were with splenic preservation, and one was a central pancreatectomy. There were two conversions. The median surgical time was 247.5 minutes (IQR 242-275). The median postoperative hospital stay was 7 days (IQR 6-8). After 90 days, complications were detected in five patients: three grade II, one grade III and one grade V according to the modified Clavien-Dindo classification. There was one grade B pancreatic fistula, and four patients had to be readmitted to hospital because of peripancreatic collections. The anatomic pathology diagnosis was malignant neoplasm in 38.9% of cases, all of them with negative resection margins. Conclusions: LLP can be considered the technique of choice in the treatment of primary benign pancreatic lesions and an alternative to the open approach in selected patients diagnosed with malignant pancreatic lesions. (C) 2019 AEC. Published by Elsevier Espana, S.L.U. All rights reserved. |
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