A Critical Appraisal of Laparoscopic Pancreatic Enucleations
| Autor: | Brice Gayet, F. Mal, Renato Costi, Bruto Randone, H. Levard, Silvia Basato |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Operative Time Enucleation Blood Loss Surgical Pancreatic head Pancreatic Fistula Mini invasive surgery Pancreatectomy Postoperative Complications Blood loss medicine Humans Laparoscopy Aged Retrospective Studies medicine.diagnostic_test business.industry Length of Stay Middle Aged medicine.disease Conversion to Open Surgery Uncus Surgery Treatment Outcome medicine.anatomical_structure Pancreatic fistula Female Radiology Pancreas business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 23:524-531 |
| ISSN: | 1530-4515 |
| Popis: | Laparoscopic pancreatic enucleation is increasingly performed worldwide. Few small-sized series show encouraging results, especially after enucleations performed for lesions located in the left part of the pancreas. The outcome of laparoscopic pancreatic enucleations was retrospectively evaluated by the analysis of prospectively collected parameters. Results of right-sided (head/uncus) and left-sided (neck/body/tail) enucleations were compared. From 1997 to 2010, 25 patients underwent laparoscopic pancreatic enucleation. The conversion rate was 12%, mean operating time was 158 minutes, and mean blood loss was 106 mL. Morbidity was 56% and the rate of pancreatic fistula 32%. Outcome differed between patients undergoing right-sided and left-sided enucleations, the operative time being 178 versus 132 minutes, morbidity 64% versus 45%, and median hospital stay 26 versus 9 days, respectively. Pancreatic enucleation is feasible by laparoscopy, with a high success rate and no mortality but significant morbidity. Laparoscopy seems to be of no use in right-sided procedures. Pancreatic fistula is still the main cause of long-lasting morbidity. |
| Databáze: | OpenAIRE |
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