Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis

Annals of Surgery
A CuschieriJ van Spreeuwel

Abstract

The authors performed an initial clinical evaluation of laparoscopic pancreatectomy with splenectomy for chronic pancreatitis. Severe intractable pain is the most common indication for resection in chronic pancreatitis. Localized accentuation of the pathology, usually in the head of the organ, is the basis for localized proximal resection, often with preservation of a rim of pancreas and the duodenum, although some favor total pancreatectomy. The reported results for distal pancreatectomy have been variable. Distal resections are limited to those patients in whom the gross pathology is maximal in the left hemipancreas. A consecutive series of five patients with intractable pain due to chronic pancreatitis have been treated with laparoscopic 70% distal pancreatectomy and splenectomy using a 5-port technique. The procedure was completed in all with an average operating time of 4.5 hours and a mean intraoperative blood loss of 400 mL. There was one minor pancreatic leak, which resolved spontaneously. The median postoperative hospital stay was 6 days. Laparoscopic distal pancreatectomy for chronic pancreatitis is feasible, the procedure appears to be safe, and it is accompanied by an accelerated recovery.

References

Mar 1, 1988·Gut·I P LinehanR C Russell
Oct 1, 1987·The British Journal of Surgery·M J CooperH B Torrance
Sep 1, 1987·The British Journal of Surgery·R C Williamson, M J Cooper
Jan 1, 1987·The British Journal of Surgery·M A LambertR C Russell
Nov 1, 1981·The Journal of Surgical Research·C F Frey
Oct 1, 1995·American Journal of Surgery·A Cuschieri, S Shapiro

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Citations

Nov 2, 2004·World Journal of Surgery·Ahmad Assalia, Michel Gagner
Jul 7, 2005·Langenbeck's Archives of Surgery·Laureano Fernández-CruzSalvador Navarro
Sep 6, 2013·Langenbeck's Archives of Surgery·Dirk Bausch, Tobias Keck
Aug 7, 2002·Surgical Endoscopy·L Fernández-CruzS Navarro
Mar 26, 2005·Surgical Endoscopy·A LebedyevA Ayalon
Dec 8, 2005·Surgical Endoscopy·M D'AngelicaY Fong
Dec 17, 2008·Journal of Hepato-biliary-pancreatic Surgery·Yoshiharu NakamuraTakashi Tajiri
Jul 9, 2009·Journal of Hepato-biliary-pancreatic Surgery·Yoshiharu NakamuraTakashi Tajiri
Jun 27, 2007·Surgery Today·Kyoichi Takaori, Nobuhiko Tanigawa
Jul 12, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Swee H TehBrett C Sheppard
Jan 9, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher D BriggsDavid P Berry
Nov 18, 2011·Journal of Gastrointestinal Cancer·Andrew A Gumbs, Elie K Chouillard
Jul 6, 2012·Updates in Surgery·Marco BragaValerio Di Carlo
Sep 11, 2001·Journal of the American College of Surgeons·R W GruessnerR Denny
Jun 27, 2012·Nature Reviews. Gastroenterology & Hepatology·Josh WinerAmer H Zureikat
Dec 16, 2004·Journal of Endourology·Wilson R MolinaInderbir S Gill
Sep 29, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Urs GigerLukas Krähenbühl
Jul 16, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chang Moo KangWoo Jung Lee
Apr 16, 2004·Pancreas·Ryuichiro DoiMasayuki Imamura
May 2, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·H ShinchiT Aikou
Aug 30, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·M FurihataK Kubota
Feb 6, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Tatsuo ShimuraHiroyuki Kuwano
Aug 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Toshifumi MatsumotoSeigo Kitano
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kristin L MekeelKristi L Harold
Dec 5, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Renato CostiBrice Gayet
Aug 17, 2010·World Journal of Gastroenterology : WJG·Sonja GillenHubertus Feussner
Sep 13, 2012·World Journal of Gastroenterology : WJG·Armando Rosales-VelderrainHoracio J Asbun
Oct 20, 2012·World Journal of Gastroenterology : WJG·Maurizio IacoboneDonato Nitti
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Julien JarryAntonio Sa Cunha
May 8, 2014·World Journal of Gastroenterology : WJG·Markus Alexander KüperJörg Glatzle
Jan 16, 2003·Asian Journal of Surgery·C Y Lo, P K H Tam
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Laureano Fernández-CruzMiguel Angel López-Boado
Aug 13, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·C TaylorG Fielding
Jan 2, 2016·The Indian Journal of Surgery·Mallika Tewari
Dec 7, 2007·The Surgical Clinics of North America·Ronald F Martin, Michael D Marion
Mar 10, 2016·World Journal of Surgery·Caroline L LopezDetlef K Bartsch
Jun 3, 2015·Surgery·Francesco GuerraAndrea Coratti
Apr 17, 2013·Journal of Hepato-biliary-pancreatic Sciences·E Fernandes, P C Giulianotti
Dec 12, 2012·Journal of Hepato-biliary-pancreatic Sciences·Masafumi Nakamura, Hiroshi Nakashima
Jan 17, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Hipolito DuranEmilio Vicente
Jun 20, 2015·Journal of Hepato-biliary-pancreatic Sciences·Masafumi NakamuraTadahiro Takada
Feb 1, 1997·AORN Journal·G J ClarkJ D Knudson

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