[Laparoscopic pancreatectomy: report of 22 cases].
OBJECTIVE
To evaluate results of laparoscopic pancreatectomy for benign lesions of the pancreas. Peri-operative data, surgical outcomes and techniques are presented.


METHODS
Eighteen women and four men underwent laparoscopic pancreatectomy and were collected retrospectively from 1999 to 2003.


RESULTS
Laparoscopic pancreatectomy was attempted in 22 patients and completed successfully in 18: 10 enucleations, three distal pancreatectomies, four left pancreatectomies and one total pancreatectomy for endocrine and cystic tumors. Left and distal pancreatectomies were performed with preservation of the spleen. Four patients were converted (one enucleation, one whipple procedure and two left pancreatectomy). There was no mortality; the post-operative morbidity included two pancreatic leaks and one case of half splenic infarction. The median length of hospital stay was 12 days.


CONCLUSIONS
Patients appear to benefit from laparoscopic pancreatectomy for pancreatic benign tumors.
Masson
B
B
Service de chirurgie digestive et endocrinienne, centre de chirurgie laparoscopique, hôpital du Haut-Lévèque, 33604 Pessac, France. bernard.masson@chu-bordeaux.fr
Sa-Cunha
A
A
Laurent
C
C
Rault
A
A
Collet
D
D
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D018358:Neuroendocrine Tumors / Q000601:surgery*; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010181:Pancreatic Cyst / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome