Laparoscopic assisted central pancreatectomy with pancreaticogastrostomy reconstruction - An alternative surgical technique for central pancreatic mass resection.

North American Journal of Medical Sciences
Iswanto SucandyDavid G Sheldon

Abstract

Central pancreatectomy has gained popularity in the past decade as treatment of choice for low malignant potential tumor in the midpancreas due to its ability to achieve optimal preservation of pancreatic parenchyma. Simultaneously, advancement in minimally invasive approach has contributed to numerous novel surgical techniques with significantly lower morbidity and mortality. With the purpose of improving patient outcomes, we describe a laparoscopic assisted central pancreatectomy with pancreaticogastrostomy as an alternative method to the previously described open central pancreatectomy with roux-en-y pancreaticojejunostomy reconstruction. A 39 year old man presented to our clinic with a 2.5 cm neuroendocrine tumor at the neck of the pancreas. Laparoscopic assisted central pancreatectomy with pancreaticogastrostomy reconstruction was successfully performed. Operative time was 210 minutes with blood loss of 200 ml. Postoperative course was uneventful except for a minimal pancreatic leak which was controlled by an intraoperatively placed closed suction drain. At 2 week follow up, patient was asymptomatic with well preserved pancreatic endo and exocrine functions. Permanent pathology findings showed a well differentiated neuroen...Continue Reading

Citations

Oct 8, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Renchao ZhangYiping Mou
Sep 24, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Tian ZhangChenghong Peng
Sep 13, 2013·Journal of Hepato-biliary-pancreatic Sciences·Tamotsu Kuroki, Susumu Eguchi
Aug 27, 2014·Journal of Hepato-biliary-pancreatic Sciences·Chang Moo KangWoo Jung Lee
Oct 31, 2014·Cell Biochemistry and Biophysics·Chong Yi Jiang, Wei Wang
Dec 5, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Marcel Autran C MachadoFabio Ferrari Makdissi

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Methods Mentioned

BETA
pancreatectomy
biopsy
surgical resection
dissection
pancreatectomies

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