Background/Aims: Worldwide experience with laparoscopic pancreatic resection remains limited. The aim of the study was to assess the feasibility, safety and outcome of laparoscopic pancreatic resection. Methodology: 15 consecutive patients suffering from benign cystic pancreatic (n=6), neuroendocrine tumors (n=8) or pancreatic metastasis from renal carcinoma (n=1) undergoing laparoscopic pancreatic resection were retrospectively collected from 5 academic hospitals. Results: Laparoscopic procedure was completed in 10 patients, including 7 distal pancreatectomies (with 5 spleen preservation), 2 tumor enucleations and 1 partial cystic resection. Conversion was due to inappropriate operative finding for laparoscopic approach in 2 patients and for uncontrollable bleeding in 3 patients. Postoperative pancreatic-related complications included pancreatic fistula in 20% and peripancreatic collection in 13% of the patients. Conclusions: Laparoscopic pancreatic resection is feasible for distal pancreatic tumors. However, successful management of the pancreatic stump remains the challenge of this procedure, in order to achieve a clear benefit in the patient outcome.
Mabrut, J., Boulez, J., Peix, J., Gigot, J.-F., Gouillat, C., de La Roche, E., Ducerf, C., & Baulieux, J. (2005). Laparoscopic pancreatic resection: a preliminary experience of 15 patients. Hepato-Gastroenterology : current medical and surgical trends, 52(61), 230-232. https://hdl.handle.net/2078.5/97270 (Original work published 2005)