title: [Laparoscopic pancreatic resection of pancreatic cancer].
abstract: Laparoscopic pancreatic resection of pancreatic cancer is still not universally accepted as an alternative approach to open surgery because of technical difficulties and a lack of consensus regarding the adequacy of this approach for malignancy. Ten patients with pancreatic cancer underwent laparoscopic pancreatic resection, including pancreaticoduodenectomy and distal pancreatectomy in our institution. Eight of the 10 patients recovered without any complications and were discharged on the 10-29th postoperative day. The remaining 2 patients developed pancreatic fistula and were discharged on the 46 and 60th postoperative day, respectively. All lesions were well clear of surgical margins in 6 patients (R0). In the remaining 4 patients, microscopic neoplastic change was found at the surgical margin (R1). Those 4 patients developed tumor recurrence, including liver metastases or peritoneal dissemination, and 3 of the 4 died of the primary disease. Although experience is limited, laparoscopic pancreatic resection of pancreatic cancer can be feasible, safe, and effective in carefully selected patients. However, the benefit of this procedure has yet to be confirmed. Not only adequate experience in pancreatic surgery but also expertise in laparoscopy is mandatory, and careful selection of patients is essential for successful application of this procedure.
authors.affiliation: Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, Chiba, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Cho
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Takumi
authors.initials: T
authors.lastname: Ota
authors.forename: Seong Jin
authors.initials: SJ
authors.lastname: Park
authors.forename: Hiroo
authors.initials: H
authors.lastname: Yanagibashi
authors.forename: Hidehito
authors.initials: H
authors.lastname: Arimitsu
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Souda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nabeya
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications