Laparoscopic minor pancreatic resections (enucleations/atypical resections). A long-term appraisal of a supposed mini-invasive approach

Renato Costi; Bruto Randone; Frédérick Mal; Silvia Basato; Hugues Levard; Brice Gayet

doi:10.5114/wiitm.2011.32863

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2013
vol. 8

Send email

Copy url:

abstract:

Original paper

Laparoscopic minor pancreatic resections (enucleations/atypical resections). A long-term appraisal of a supposed mini-invasive approach

Renato Costi

,

Bruto Randone

,

Frédérick Mal

,

Silvia Basato

,

Hugues Levard

,

Brice Gayet

Videosurgery Miniinv 2013; 8 (2): 117-129

DOI: https://doi.org/10.5114/wiitm.2011.32863

Online publish date: 2013/01/21

View full text Get citation

PlumX metrics:

Introduction: A few retrospective, small, often multicentric studies show encouraging results of laparoscopic minor pancreatic surgery, but do not allow for an evaluation of feasibility and effectiveness.

Aim: Evaluation of the results of laparoscopic minor pancreatic resections (LMPR), including atypical resections and enucleations.

Material and methods: The outcome of all consecutive patients undergoing LMPR in a tertiary care university hospital specializing in the laparoscopic approach to solid organs (I.M.M., Paris – France) was retrospectively evaluated by the analysis of operating time, blood loss, conversion, morbidity, stay and late outcome.

Results: Thirty-three patients underwent LMPR (29 enucleations and 4 atypical resections) for various diseases. The conversion rate was 21%, mean operating time 189 min, and mean blood loss 133 ml. Morbidity was 60%; 10 patients (30%) presented a pancreatic fistula. Pancreatic fistula was independent of type of resection, technique of pancreas section, management of enucleated surface and somatostatin administration. Median stay for enucleations was 18 days. Mean follow-up was 61 months.

Conclusions: Laparoscopic pancreatic enucleation is feasible and safe, with no mortality, no lengthening of operating time and a high success rate. Conversely, it does not imply a reduction in complications or hospital stay at the present state of the art.

keywords:

Laparoscopic minor pancreatic resections (enucleations/atypical resections). A long-term appraisal of a supposed mini-invasive approach

Renato Costi , Bruto Randone , Frédérick Mal , Silvia Basato , Hugues Levard , Brice Gayet

laparoscopy, pancreas, treatment outcome, morbidity, pancreatic fistula

Renato Costi

,

Bruto Randone

,

Frédérick Mal

,

Silvia Basato

,

Hugues Levard

,

Brice Gayet