[Observation of laparoscopic distal pancreatectomy in hepatobiliary surgery: a report of 25 cases].

Abstract

OBJECTIVE:

To explore the clinical application of laparoscopic distal pancreatectomy (LDP) in hepatobiliary operations.

METHODS:

The clinical data of LDP from 25 cases from June 2008 to December 2011 were retrospectively analyzed. Among them, 9 patients underwent LDP with excision of spleen while another 16 patients had LDP with preservation of spleen. And during the same period, 42 patients undergoing open distal pancreatectomy were selected into the control group. And the patient data of two groups were compared.

RESULTS:

All of them underwent successfully LDP. Among 16 patients with preservation of spleen, 11 patients undergone the Kimura procedure while another 5 undergone the Warshaw operation. The operative duration was (4.5 ± 1.2) hours, volume of blood loss (256 ± 188) ml, length of incision (4.6 ± 0.9) cm, mean time of oral food taking (1.5 ± 0.9) days and mean postoperative hospital stay (7.1 ± 1.9) days. Pathological examinations showed benign tumor (n = 20), malignant tumor (n = 4) and borderline tumor (n = 1). The mean data of LDP group was significantly less than that of open distal pancreatectomy group in terms of anal exsufflation time, length of incision, postoperative hospital stay time and complication rate, etc. (P < 0.05). Four patients were diagnosed of post-LDP pancreatic fistula (3 A level vs 1 B level) and all of them became cured after conservative treatment. There was no mortality.

CONCLUSION:

As a safe and feasible procedure, LDP is worthy of wider applications.

• Authors: Shao-cheng Lü, Xian-jie Shi, Hong-guang Wang, Wen-bin Ji, Tao Wan, Ming-yue Xu, Wen-wen Zhang, Tong-you Liu
• Journal: Zhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 92 Issue 44 Pg. 3128-30 (Nov 27 2012) ISSN: 0376-2491 [Print] China
• PMID: 23328424 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Female
• Humans
• Laparoscopy
• Male
• Middle Aged
• Pancreatectomy (methods)
• Pancreatic Neoplasms (surgery)
• Retrospective Studies
• Treatment Outcome