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Published in:

01-04-2015

Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body

Authors: Ki Byung Song, Song Cheol Kim, Kwang-Min Park, Dae Wook Hwang, Jae Hoon Lee, Dong Joo Lee, Jung Woo Lee, Eun Sung Jun, Sang Hyun Shin, Hyoung Eun Kim, Young-Joo Lee

Published in: Surgical Endoscopy | Issue 4/2015

Abstract

Introduction

Laparoscopic central pancreatectomy (LCP) is a parenchyma-sparing minimally invasive surgical technique for removal of benign or low-grade malignant lesions from the neck and proximal body of the pancreas. The aim of this study was to compare the short- and long-term clinical outcomes of LCP with those of other pancreatectomies.

Methods

During the study period, January 2007 to December 2010 (median follow-up 40.6 months), 287 pancreatectomies were performed for lesions in the neck and proximal body of the pancreas. To compare the clinical outcomes of LCP and other pancreatectomies, 26 cases of LCP, 14 cases of open central pancreatectomy (OCP), and 96 cases of extended laparoscopic distal pancreatectomy (E-LDP) were selected.

Results

Tumor sizes in the LCP (2.2 cm) and OCP (2.9 cm) groups were smaller than in the E-LDP (4.0 cm) group. Mean operation time in the LCP group (350.2 min) was longer than in the OCP (270.3 min) and E-LDP groups (210.6 min). There were more surgical complications in the LCP (38.5 %) and OCP groups (50 %) than in the E-LDP group (14.6 %). Mean duration of postoperative hospital stay was 13.8 days for the LCP group, which was significantly shorter than for the OCP group (22.4 days). New-onset diabetes was less frequent after LCP than after E-LDP (11.5 vs. 30.8 %).

Conclusions

In selected patients with small and benign tumors in the pancreatic neck and proximal body LCP leads to increased postoperative morbidity but earlier postoperative recovery than OCP, and excellent postoperative pancreatic function (compared with E-LDP). LCP should, therefore, be considered a valid therapeutic option for selected patients.

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Title: Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body
Authors: Ki Byung Song
Song Cheol Kim
Kwang-Min Park
Dae Wook Hwang
Jae Hoon Lee
Dong Joo Lee
Jung Woo Lee
Eun Sung Jun
Sang Hyun Shin
Hyoung Eun Kim
Young-Joo Lee
Publication date: 01-04-2015
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 4/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3756-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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