title: [Clinical applications of laparoscopic pancreatectomy].
abstract: OBJECTIVE
  To summarize the experiences of laparoscopic pancreatectomy and to discuss its clinical indications and operative techniques.
  
  
  METHODS
  From March 2003 to February 2010, 49 patients with pancreatic diseases, including 18 males and 31 females with a mean age of (42 ± 14) years old (range: 21 - 77), underwent laparoscopy at our department. The preoperative diagnoses included insulinoma (n = 38), cystadenoma (n = 4), cystadenocarcinoma (n = 1), nonfunctional islet cell tumor (n = 5) and solid-pseudopapillary tumor (n = 1).
  
  
  RESULTS
  Thirty-nine cases underwent total laparoscopic surgery and 8 cases converted to open surgery. The operative duration was (245 ± 146) minutes (range: 90 - 960). The mean intraoperative blood loss was (191 ± 306) ml (range: 20 - 1500). Secondary operations were needed in 3 cases and pancreatic fistula occurred in 7 cases. The postoperative hospital stay was (10 ± 7) days (range: 4 - 31).
  
  
  CONCLUSIONS
  Laparoscopic pancreatectomy is safe and feasible in the treatment of most benign pancreatic diseases and some malignant tumors.
authors.affiliation: Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Ming-gen
authors.initials: MG
authors.lastname: Hu
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Zhao
authors.forename: Ying
authors.initials: Y
authors.lastname: Luo
authors.forename: Rong
authors.initials: R
authors.lastname: Liu
mesh_terms: D007516:Adenoma, Islet Cell / Q000601:surgery*; D000328:Adult; D000368:Aged; D003537:Cystadenoma / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*