Laparoscopic pancreatic enucleation is increasingly performed worldwide. Few smallsized series show encouraging results, especially following enucleations performed for lesions located in the left part of the pancreas. Outcome of laparoscopic pancreatic enucleations was retrospectively evaluated by the analysis of prospectively collected parameters. Results of right- (head/uncus) and left-sided (neck/body/tail) enucleations were compared. Since 1997 through 2010, 25 patients underwent laparoscopic pancreatic enucleation. Conversion rate was 12%, mean operating time was 158 minutes, and mean blood loss was 106 ml. Morbidity was 56% and rate of pancreatic fistula 32%. Outcome differed between patients undergoing right- and left-sided enucleations, operative time being 178 vs. 132 mins, morbidity 64% vs. 45%, and median hospital stay 26 vs. 9 days, respectively. Pancreatic enucleation is feasible by laparoscopy, with high success rate and no mortality, but significant morbidity. Laparoscopy seems to be useless in right-sided procedures. Pancreatic fistula is still the main cause of long-lasting morbidity.
A CRITICAL APPRAISAL OF LAPAROSCOPIC PANCREATIC ENUCLEATIONS: RIGHT-SIDED PROCEDURES (PANCREATIC HEAD, UNCUS) ARE NOT MINI-INVASIVE SURGERY / Costi, Renato; B., Randone; F., Mal; S., Basato; H., Lévard; B., Gayet. - In: SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES. - ISSN 1530-4515. - 23:6(2013), pp. 524-531. [10.1097/SLE.0b013e31828e3d86]
A CRITICAL APPRAISAL OF LAPAROSCOPIC PANCREATIC ENUCLEATIONS: RIGHT-SIDED PROCEDURES (PANCREATIC HEAD, UNCUS) ARE NOT MINI-INVASIVE SURGERY.
COSTI, Renato;
2013-01-01
Abstract
Laparoscopic pancreatic enucleation is increasingly performed worldwide. Few smallsized series show encouraging results, especially following enucleations performed for lesions located in the left part of the pancreas. Outcome of laparoscopic pancreatic enucleations was retrospectively evaluated by the analysis of prospectively collected parameters. Results of right- (head/uncus) and left-sided (neck/body/tail) enucleations were compared. Since 1997 through 2010, 25 patients underwent laparoscopic pancreatic enucleation. Conversion rate was 12%, mean operating time was 158 minutes, and mean blood loss was 106 ml. Morbidity was 56% and rate of pancreatic fistula 32%. Outcome differed between patients undergoing right- and left-sided enucleations, operative time being 178 vs. 132 mins, morbidity 64% vs. 45%, and median hospital stay 26 vs. 9 days, respectively. Pancreatic enucleation is feasible by laparoscopy, with high success rate and no mortality, but significant morbidity. Laparoscopy seems to be useless in right-sided procedures. Pancreatic fistula is still the main cause of long-lasting morbidity.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
