Laparoscopic Distal Pancreatectomy for Pancreatic Tumors: Does Size Matter?

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 Surg

journal_title

Digestive surgery

authors

Fernández-Cruz L,Poves I,Pelegrina A,Burdío F,Sánchez-Cabus S,Grande L

doi

10.1159/000445008

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

290-8

issue

4

eissn

0253-4886

issn

1421-9883

pii

000445008

journal_volume

33

pub_type

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