Laparoscopic Left Pancreatectomy in the United Kingdom: Analysis of a Six-Year Experience in a Single Tertiary Center

Pancreas
Nicholas George MowbrayBilal Al-Sarireh

Abstract

Laparoscopic techniques have been slow to establish a role in pancreatic surgery. Worldwide, laparoscopic left pancreatectomy (LLP) is gaining in popularity; however, there remains little published data from the United Kingdom.We aimed to evaluate the results of LLP performed in a single UK pancreatic unit. Patients undergoing LLP for lesions in the body and tail of the pancreas between April 2009 and April 2015 were identified. Patient records were reviewed retrospectively. Laparoscopic left pancreatectomy was performed on 46 patients, median age, 62 years (range, 19-84). The spleen was preserved in 27 patients (93% of planned), and 6 (13%) operations were converted to open. The overall morbidity rate was 39%; 28 patients had no complications. Significant complications were seen in 7 (15%) patients; this included 3 pancreatic fistula (6.5%) and 1 mortality (2%). Median length of stay was 6 days (range, 3-28). Histology revealed 15 neuroendocrine tumors, 8 adenocarcinomas, 4 mucinous cystadenomas, 1 intraductal papillary mucinous neoplasm, 2 metastases, and 16 other benign pathologies. Laparoscopic pancreatic surgery has a low risk of significant complications. Our results offer encouragement to identify LLP as the gold standar...Continue Reading

References

Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Sep 1, 2009·Journal of the American College of Surgeons·Guy LahatJosef M Klausner
Dec 5, 2009·Journal of the American College of Surgeons·Daniel Borja-CachoEric H Jensen
Apr 28, 2010·Journal of the American College of Surgeons·David A KoobyKeith D Lillemoe
Jul 14, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Koen de JongMarco J Bruno
Sep 9, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Piero Marco FisichellaMargo Shoup
Dec 25, 2010·Surgical Endoscopy·Giuseppe R NigriMarcovalerio Melis
Nov 16, 2011·Surgical Endoscopy·Asri C Jusoh, Basil J Ammori
Dec 20, 2011·Surgical Endoscopy·Mohammad Abu HilalColin D Johnson
May 9, 2012·World Journal of Gastroenterology : WJG·Kun XieYi-Ping Mou
Jun 26, 2012·Asian Journal of Surgery·Cheng-Jun SuiYan-Ming Zhou
Jul 17, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Timothy I CarterErnest L Rosato
Oct 10, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Tao JinQing Xia
Oct 20, 2012·World Journal of Gastroenterology : WJG·Maurizio IacoboneDonato Nitti
Jul 27, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Yanming ZhouBin Li

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Citations

Jun 27, 2019·Surgical Endoscopy·Alma L MoekotteUNKNOWN Minimally Invasive liver and Pancreatic Surgery Study Group-UK (MI-LAPS UK)
Aug 28, 2019·The British Journal of Surgery·S LofUNKNOWN Minimally Invasive Liver and Pancreatic Surgery Study Group - UK (MI-LAPS UK)

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