Abstract:
BACKGROUND:Laparoscopic distal pancreatectomy (LDP) for large pancreatic tumors may require prolonged dissection, and this could be associated with increased operative time and intraoperative complications. METHODS:From a total cohort of 190 consecutive patients undergoing LDP, 18 patients were found to have pancreatic tumors >5 cm and were included in the retrospective study of prospectively collected data. Three techniques were used to approach the splenic vessels: the superior pancreatic, the inferior supracolic and post-pancreatic transection. RESULTS:Of these 18 patients, 13 were women and 5 were men, the median age was 68 years and their median tumor size 7 cm. Exocrine pancreatic malignancy was diagnosed in 8 patients, 6 patients had neuroendocrine pancreatic tumors and 4 patients cystic neoplasm. The median number of resected nodes was 14. R1 resections for exocrine pancreatic malignancies were found in 50% of patients. Morbidity (grade >II) was found in 16.6% of patients and 30 days mortality in 1 patient. Overall median survival was 50 months and 29 months for patients with exocrine pancreatic malignancies. CONCLUSIONS:LDP for large tumors, while technically demanding, is possible without additional morbidity and did not compromise short- and long-term oncological outcomes.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Fernández-Cruz L,Poves I,Pelegrina A,Burdío F,Sánchez-Cabus S,Grande Ldoi
10.1159/000445008subject
Has Abstractpub_date
2016-01-01 00:00:00pages
290-8issue
4eissn
0253-4886issn
1421-9883pii
000445008journal_volume
33pub_type
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journal_title:Digestive surgery
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pub_type: 杂志文章,评审
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更新日期:2012-01-01 00:00:00
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更新日期:2007-01-01 00:00:00
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