Laparoscopic pancreatic surgery: Current indications and surgical results

Shuji Shimizu, M. Tanaka, H. Konomi, Kazuhiro Mizumoto, K. Yamaguchi

研究成果: ジャーナルへの寄稿記事

83 引用 (Scopus)

抄録

Background: Although minimally invasive surgery has achieved worldwide acceptance in various fields, laparoscopic surgery for pancreatic diseases has been reported only rarely. The purpose of this study was to evaluate the outcomes and feasibility of laparoscopic pancreatic surgery. Methods: Fifteen patients, comprising eight men and seven women with an average age of 54 years, underwent laparoscopic pancreatic surgery. Distal pancreatectomy was indicated for solid tumors (n = 4), cystic lesions (n = 3), and chronic pancreatitis (n = 2). Cystogastrostomy was performed for pseudocysts (n = 4) and enucleation for insulinomas (n = 2). The lesions varied in size from 1 to 9 cm (2.9 ± 2. 4 cm) and were located in the pancreatic head (n = 2), body (n = 3), or tail (n = 10). For distal pancreatectomy, the splenic artery was divided and the parenchyma was transected with a linear stapler. Laparoscopic ultrasonography was used to determine the distance between the tumor and the main pancreatic duct for enucleation as well as to localize the lesion for distal pancreatectomy. Cystogastrostomy, 4.5 cm in length, was also performed with the linear stapler through the window of the lesser omentum. Results: Mean operation time was 249 ± 70 min (293 ± 58 min in distal pancreatectomy, 185 ± 14 min in enucleation, 204 ± 50 min in cystogastrostomy), and mean blood loss was 138 ± 184 g (213 ± 227 g, 75 ± 35 g, 38 ± 48 g, respectively). Two distal pancreatectomies (13%) were converted to open surgery due to severe peripancreatic inflammation. There was no related mortality, but there were two cases (15%) of pancreatic fistula, one in a distal pancreatectomy case and the other in an enucleation case, and both were treated conservatively. Conclusions: Laparoscopic pancreatic surgery is safe and feasible for patients with benign tumors and cystic lesions.

元の言語英語
ページ(範囲)402-406
ページ数5
ジャーナルSurgical Endoscopy and Other Interventional Techniques
18
発行部数3
DOI
出版物ステータス出版済み - 3 1 2004

Fingerprint

Pancreatectomy
Laparoscopy
Pancreatic Fistula
Splenic Artery
Neoplasms
Pancreatic Diseases
Insulinoma
Omentum
Minimally Invasive Surgical Procedures
Pancreatic Ducts
Chronic Pancreatitis
Ultrasonography
Inflammation
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Laparoscopic pancreatic surgery : Current indications and surgical results. / Shimizu, Shuji; Tanaka, M.; Konomi, H.; Mizumoto, Kazuhiro; Yamaguchi, K.

:: Surgical Endoscopy and Other Interventional Techniques, 巻 18, 番号 3, 01.03.2004, p. 402-406.

研究成果: ジャーナルへの寄稿記事

@article{71e67413d91947f397fd08a9f6806b65,
title = "Laparoscopic pancreatic surgery: Current indications and surgical results",
abstract = "Background: Although minimally invasive surgery has achieved worldwide acceptance in various fields, laparoscopic surgery for pancreatic diseases has been reported only rarely. The purpose of this study was to evaluate the outcomes and feasibility of laparoscopic pancreatic surgery. Methods: Fifteen patients, comprising eight men and seven women with an average age of 54 years, underwent laparoscopic pancreatic surgery. Distal pancreatectomy was indicated for solid tumors (n = 4), cystic lesions (n = 3), and chronic pancreatitis (n = 2). Cystogastrostomy was performed for pseudocysts (n = 4) and enucleation for insulinomas (n = 2). The lesions varied in size from 1 to 9 cm (2.9 ± 2. 4 cm) and were located in the pancreatic head (n = 2), body (n = 3), or tail (n = 10). For distal pancreatectomy, the splenic artery was divided and the parenchyma was transected with a linear stapler. Laparoscopic ultrasonography was used to determine the distance between the tumor and the main pancreatic duct for enucleation as well as to localize the lesion for distal pancreatectomy. Cystogastrostomy, 4.5 cm in length, was also performed with the linear stapler through the window of the lesser omentum. Results: Mean operation time was 249 ± 70 min (293 ± 58 min in distal pancreatectomy, 185 ± 14 min in enucleation, 204 ± 50 min in cystogastrostomy), and mean blood loss was 138 ± 184 g (213 ± 227 g, 75 ± 35 g, 38 ± 48 g, respectively). Two distal pancreatectomies (13{\%}) were converted to open surgery due to severe peripancreatic inflammation. There was no related mortality, but there were two cases (15{\%}) of pancreatic fistula, one in a distal pancreatectomy case and the other in an enucleation case, and both were treated conservatively. Conclusions: Laparoscopic pancreatic surgery is safe and feasible for patients with benign tumors and cystic lesions.",
author = "Shuji Shimizu and M. Tanaka and H. Konomi and Kazuhiro Mizumoto and K. Yamaguchi",
year = "2004",
month = "3",
day = "1",
doi = "10.1007/s00464-003-8164-3",
language = "English",
volume = "18",
pages = "402--406",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "3",

}

TY - JOUR

T1 - Laparoscopic pancreatic surgery

T2 - Current indications and surgical results

AU - Shimizu, Shuji

AU - Tanaka, M.

AU - Konomi, H.

AU - Mizumoto, Kazuhiro

AU - Yamaguchi, K.

PY - 2004/3/1

Y1 - 2004/3/1

N2 - Background: Although minimally invasive surgery has achieved worldwide acceptance in various fields, laparoscopic surgery for pancreatic diseases has been reported only rarely. The purpose of this study was to evaluate the outcomes and feasibility of laparoscopic pancreatic surgery. Methods: Fifteen patients, comprising eight men and seven women with an average age of 54 years, underwent laparoscopic pancreatic surgery. Distal pancreatectomy was indicated for solid tumors (n = 4), cystic lesions (n = 3), and chronic pancreatitis (n = 2). Cystogastrostomy was performed for pseudocysts (n = 4) and enucleation for insulinomas (n = 2). The lesions varied in size from 1 to 9 cm (2.9 ± 2. 4 cm) and were located in the pancreatic head (n = 2), body (n = 3), or tail (n = 10). For distal pancreatectomy, the splenic artery was divided and the parenchyma was transected with a linear stapler. Laparoscopic ultrasonography was used to determine the distance between the tumor and the main pancreatic duct for enucleation as well as to localize the lesion for distal pancreatectomy. Cystogastrostomy, 4.5 cm in length, was also performed with the linear stapler through the window of the lesser omentum. Results: Mean operation time was 249 ± 70 min (293 ± 58 min in distal pancreatectomy, 185 ± 14 min in enucleation, 204 ± 50 min in cystogastrostomy), and mean blood loss was 138 ± 184 g (213 ± 227 g, 75 ± 35 g, 38 ± 48 g, respectively). Two distal pancreatectomies (13%) were converted to open surgery due to severe peripancreatic inflammation. There was no related mortality, but there were two cases (15%) of pancreatic fistula, one in a distal pancreatectomy case and the other in an enucleation case, and both were treated conservatively. Conclusions: Laparoscopic pancreatic surgery is safe and feasible for patients with benign tumors and cystic lesions.

AB - Background: Although minimally invasive surgery has achieved worldwide acceptance in various fields, laparoscopic surgery for pancreatic diseases has been reported only rarely. The purpose of this study was to evaluate the outcomes and feasibility of laparoscopic pancreatic surgery. Methods: Fifteen patients, comprising eight men and seven women with an average age of 54 years, underwent laparoscopic pancreatic surgery. Distal pancreatectomy was indicated for solid tumors (n = 4), cystic lesions (n = 3), and chronic pancreatitis (n = 2). Cystogastrostomy was performed for pseudocysts (n = 4) and enucleation for insulinomas (n = 2). The lesions varied in size from 1 to 9 cm (2.9 ± 2. 4 cm) and were located in the pancreatic head (n = 2), body (n = 3), or tail (n = 10). For distal pancreatectomy, the splenic artery was divided and the parenchyma was transected with a linear stapler. Laparoscopic ultrasonography was used to determine the distance between the tumor and the main pancreatic duct for enucleation as well as to localize the lesion for distal pancreatectomy. Cystogastrostomy, 4.5 cm in length, was also performed with the linear stapler through the window of the lesser omentum. Results: Mean operation time was 249 ± 70 min (293 ± 58 min in distal pancreatectomy, 185 ± 14 min in enucleation, 204 ± 50 min in cystogastrostomy), and mean blood loss was 138 ± 184 g (213 ± 227 g, 75 ± 35 g, 38 ± 48 g, respectively). Two distal pancreatectomies (13%) were converted to open surgery due to severe peripancreatic inflammation. There was no related mortality, but there were two cases (15%) of pancreatic fistula, one in a distal pancreatectomy case and the other in an enucleation case, and both were treated conservatively. Conclusions: Laparoscopic pancreatic surgery is safe and feasible for patients with benign tumors and cystic lesions.

UR - http://www.scopus.com/inward/record.url?scp=1942518867&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1942518867&partnerID=8YFLogxK

U2 - 10.1007/s00464-003-8164-3

DO - 10.1007/s00464-003-8164-3

M3 - Article

C2 - 14735345

AN - SCOPUS:1942518867

VL - 18

SP - 402

EP - 406

JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 3

ER -