title: Single-centre experience of laparoscopic pancreatic surgery.
abstract: BACKGROUND
  Laparoscopic resection is regarded as safe and feasible in selected patients with benign pancreatic tumours. Few data exist on laparoscopic surgery for malignant lesions and larger neoplasms in unselected patients.
  
  
  METHODS
  The study included all patients admitted to Oslo University Hospital, Rikshospitalet, from March 1997 to March 2009 for surgery of lesions in the body and tail of the pancreas, and selected patients with lesions in the pancreatic head, who underwent surgery by a laparoscopic approach with curative intent.
  
  
  RESULTS
  A total of 166 patients had 170 operations, including 138 pancreatic resections, 18 explorations, nine resections of peripancreatic tissue and five other therapeutic procedures. Four patients had repeat procedures. There were 53 endocrine tumours (31.0 per cent), 28 pancreatic carcinomas (16.4 per cent), five cases of metastases (2.9 per cent), 48 cystic tumours (28.1 per cent) and 37 other lesions (21.6 per cent). The total morbidity rate was 16.5 per cent. Fistula was the most common complication (10.0 per cent). Three patients needed reoperation for complications. There were three hospital deaths (1.8 per cent). Median hospital stay following surgery was 4 days.
  
  
  CONCLUSIONS
  Laparoscopic resection of lesions in the body and tail of the pancreas in an unselected patient series was safe and feasible, and should be the method of choice for this patient group in specialized centres.
authors.affiliation: Division of Surgery, Section for Gastrointestinal Surgery, Oslo University Hospital (OUH), Rikshospitalet, 0027 Oslo, Norway.
authors.forename: B I
authors.initials: BI
authors.lastname: Røsok
authors.forename: I P
authors.initials: IP
authors.lastname: Marangos
authors.forename: A M
authors.initials: AM
authors.lastname: Kazaryan
authors.forename: A R
authors.initials: AR
authors.lastname: Rosseland
authors.forename: T
authors.initials: T
authors.lastname: Buanes
authors.forename: O
authors.initials: O
authors.lastname: Mathisen
authors.forename: B
authors.initials: B
authors.lastname: Edwin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013156:Splenectomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D055815:Young Adult