Document Detail


Laparoscopic pancreatic resection: single-institution experience of 19 patients.
MedLine Citation:
PMID:  11548798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The number of laparoscopic pancreatic resections reported in the surgical literature has been remarkably low. Few substantive data are available concerning current indications and outcomes after laparoscopic pancreatectomy. The purpose of this article is to review the recent indications, complications, and outcomes after laparoscopic pancreatic resection. STUDY DESIGN: A retrospective analysis of the Mount Sinai hospital records was performed for all patients who underwent laparoscopic distal pancreatectomy or enucleation between the time of the first resection in November 1993 until the time of this study in March 2000. RESULTS: In the 19 patients (6 men) the mean age was 53 years (range 22 to 83 years). In 16 patients (84%) the entire procedure was done by laparoscopy; one operation was converted to a hand-assisted technique; and two cases were converted to open. Median operating time was 4.4 hours (range 1.6 to 6.6 hours), and median intraoperative blood loss was 200 mL. Postoperative complications included three pancreatic leaks (16%), one case of superficial phlebitis, and one prolonged ileus for 7 days (total morbidity of 26%). There were no deaths. The median length of postoperative hospital stay was 6 days (range 1 to 26 days). CONCLUSIONS: This represents the largest single-institution experience with laparoscopic pancreatic resection. The considerable morbidity rate is comparable to recently published open series, and is likely inherent in pancreatic surgery, rather than the technical approach. Laparoscopic pancreatic surgery resulted in shorter hospital stays and appears to be safe for benign diseases.
Authors:
E J Patterson; M Gagner; B Salky; W B Inabnet; S Brower; M Edye; B Gurland; M Reiner; D Pertsemlides
Related Documents :
3958888 - Juxtapancreatic intestinal duplications with pancreatic ductal communication: a cause o...
12063958 - Pancreatic resection with ultrasonically activated scalpel: preliminary observations.
17570778 - Pancreatic cyst associated with pancreas divisum treated by laparoscopy-assisted cystga...
12744108 - Pancreatic rupture following a bull-head caused blunt abdominal trauma.
17197968 - Reoperation as a quality indicator in colorectal surgery: a population-based analysis.
21292198 - The effects of vaseline gauze strip, merocel, and nasopore on the formation of synechia...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  193     ISSN:  1072-7515     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-10     Completed Date:  2001-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  281-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Mount Sinai Medical Center, New York, NY, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Humans
Laparoscopy*
Middle Aged
Pancreatectomy / methods*
Pancreatic Diseases / surgery*
Pancreatic Neoplasms / surgery
Retrospective Studies
Splenectomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Routine intraoperative laparoscopic ultrasonography with selective cholangiography reduces bile duct...
Next Document:  The quality of quality of life studies in general surgical journals.