Pure laparoscopic pancreatoduodenectomy with initial approach to the superior mesenteric artery

Juan Santiago Azagra; Luca Arru; Sergio Estévez; Makkai-Popa Silviu-Tiberiu; Virginie Poulain; Martine Goergen

doi:10.5114/wiitm.2015.54040

!!!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

3/2015
vol. 10

Send email

Copy url:

abstract:

Original paper

Pure laparoscopic pancreatoduodenectomy with initial approach to the superior mesenteric artery

Juan Santiago Azagra

,

Luca Arru

,

Sergio Estévez

,

Makkai-Popa Silviu-Tiberiu

,

Virginie Poulain

,

Martine Goergen

Videosurgery Miniinv 2015; 10 (3): 450–457

DOI: https://doi.org/10.5114/wiitm.2015.54040

Online publish date: 2015/09/11

View full text Get citation

PlumX metrics:

Introduction: The “artery-first approach” (AFA) to the superior mesenteric artery allows an early assessment of resectability of pancreatic tumours and could improve the benefits of laparoscopy, reducing invasiveness, especially for unresectable tumours.

Aim: To describe our technique of pure laparoscopic pancreatoduodenectomy (PLPD) with the AFA, and to report the surgical outcomes of this procedure in a small series of 12 patients through a retrospective analysis of a prospectively collected database.

Material and methods: Twelve selected patients underwent elective full laparoscopic pancreatoduodenectomy with the AFA. The technical aspects of the procedure are described in detail and the included images facilitate the understanding of the procedure.

Results: The mean operative time was 300 min (range: 250–540 min). No intraoperative complications were observed. No conversion to laparotomy was necessary. The mean postoperative hospital stay was 18 days (range: 8–42). Mortality was null. There were 3 major complications at the 3rd post-operative month follow-up: 2 patients reporting a grade A pancreatic fistula and one biliary fistula.

Conclusions: Our work shows that pure laparoscopic pancreatoduodenectomy (PLPD) with the AFA is feasible, in selected patients. The AFA could improve on the advantages of laparoscopy in the identification of unresectable patients, and it also allows early control of vascular structures.

keywords:

Pure laparoscopic pancreatoduodenectomy with initial approach to the superior mesenteric artery

Juan Santiago Azagra , Luca Arru , Sergio Estévez , Makkai-Popa Silviu-Tiberiu , Virginie Poulain , Martine Goergen

pancreatoduodenectomy, artery first approach, pure laparoscopy, feasibility, short-term outcomes, laparoscopy

Juan Santiago Azagra

,

Luca Arru

,

Sergio Estévez

,

Makkai-Popa Silviu-Tiberiu

,

Virginie Poulain

,

Martine Goergen