[Laparoscopic pancreatic resections].
The feasibility of laparoscopic pancreatic resection has been demonstrated. However, the real clinical benefit for the patients remains questioned. The best indication for a laparoscopic approach appears to be the resection of benign or neuro-endocrine tumors without a need for pancreato-enteric reconstruction (i.e enucleation or distal pancreatectomy). The use of the laparoscopic approach for malignant tumors still remains controversial. The benefits of minimally invasive surgery are clearly correlated with the successful management of the pancreatic stump. Pancreatic related complication rate (fistula and collection) is 15% when using pancreatic transection with a laparoscopic endostappler.
Mabrut
J-Y
JY
Service de chirurgie générale, digestive et de la transplantation hépatique, hôpital de la Croix-Rousse, 103, Grande rue de la Croix-Rousse, 69317 Lyon 04, France. jean-yves.mabrut@chu-lyon.fr
Boulez
J
J
Peix
J-L
JL
Gigot
J-F
JF
Gouillat
C
C
De La Roche
E
E
Adham
M
M
Ducerf
C
C
Baulieux
J
J
D006801:Humans; D010535:Laparoscopy; D018358:Neuroendocrine Tumors / Q000601:surgery; D010182:Pancreatic Diseases / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D013537:Sutures