Abstract
Background: The role of mini-invasive surgery in pancreatic surgery is still being debated. Indications and results are still controversial. Only a few centers in the world report on laparoscopic pancreatic resections. With the aim of improving the use of minimally invasive surgery, we have devised a novel laparoscopic procedure for surgical treatment of neuroendocrine tumor of the neck of the pancreas. Methods: A central laparoscopic pancreatic resection was successfully performed. The pancreatic resection was performed using the harmonic scalpel. The duct was isolated and transected. The proximal duct stump was closed by an endoscopic stitch. The pancreaticojejunostomy was intracorporeally performed using a Roux-en-Y loop. Results: Histologic findings showed a well differentiated neuroendocrine tumor. Operating time was 330 minutes and blood loss 300 mL. The postoperative course was uneventful. Conclusions: Laparoscopic central pancreatectomy is a feasible and safe procedure. The minimally invasive approach ensures an adequate treatment despite requiring the expertise of highly skilled laparoscopic surgeons.
| Original language | English |
|---|---|
| Pages (from-to) | 549-552 |
| Number of pages | 4 |
| Journal | American Journal of Surgery |
| Volume | 191 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2006 |
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Keywords
- Central pancreatectomy
- Minimally invasive surgery
- Neuroendocrine tumor
ASJC Scopus subject areas
- Surgery
Cite this
Laparoscopic central pancreatectomy. / Orsenigo, Elena; Baccari, Paolo; Bissolotti, Guido; Staudacher, Carlo.
In: American Journal of Surgery, Vol. 191, No. 4, 04.2006, p. 549-552.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic central pancreatectomy
AU - Orsenigo, Elena
AU - Baccari, Paolo
AU - Bissolotti, Guido
AU - Staudacher, Carlo
PY - 2006/4
Y1 - 2006/4
N2 - Background: The role of mini-invasive surgery in pancreatic surgery is still being debated. Indications and results are still controversial. Only a few centers in the world report on laparoscopic pancreatic resections. With the aim of improving the use of minimally invasive surgery, we have devised a novel laparoscopic procedure for surgical treatment of neuroendocrine tumor of the neck of the pancreas. Methods: A central laparoscopic pancreatic resection was successfully performed. The pancreatic resection was performed using the harmonic scalpel. The duct was isolated and transected. The proximal duct stump was closed by an endoscopic stitch. The pancreaticojejunostomy was intracorporeally performed using a Roux-en-Y loop. Results: Histologic findings showed a well differentiated neuroendocrine tumor. Operating time was 330 minutes and blood loss 300 mL. The postoperative course was uneventful. Conclusions: Laparoscopic central pancreatectomy is a feasible and safe procedure. The minimally invasive approach ensures an adequate treatment despite requiring the expertise of highly skilled laparoscopic surgeons.
AB - Background: The role of mini-invasive surgery in pancreatic surgery is still being debated. Indications and results are still controversial. Only a few centers in the world report on laparoscopic pancreatic resections. With the aim of improving the use of minimally invasive surgery, we have devised a novel laparoscopic procedure for surgical treatment of neuroendocrine tumor of the neck of the pancreas. Methods: A central laparoscopic pancreatic resection was successfully performed. The pancreatic resection was performed using the harmonic scalpel. The duct was isolated and transected. The proximal duct stump was closed by an endoscopic stitch. The pancreaticojejunostomy was intracorporeally performed using a Roux-en-Y loop. Results: Histologic findings showed a well differentiated neuroendocrine tumor. Operating time was 330 minutes and blood loss 300 mL. The postoperative course was uneventful. Conclusions: Laparoscopic central pancreatectomy is a feasible and safe procedure. The minimally invasive approach ensures an adequate treatment despite requiring the expertise of highly skilled laparoscopic surgeons.
KW - Central pancreatectomy
KW - Minimally invasive surgery
KW - Neuroendocrine tumor
UR - http://www.scopus.com/inward/record.url?scp=33644895951&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644895951&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2006.01.010
DO - 10.1016/j.amjsurg.2006.01.010
M3 - Article
VL - 191
SP - 549
EP - 552
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -