title: Laparoscopic distal pancreatectomy.
abstract: The laparoscopic approach for benign and malignant lesions in the tail of the pancreas is becoming a more widely used approach. Multiple prospective studies have shown the feasibility and safety of laparoscopic distal pancreatectomy in single-center and multi-center settings. Laparoscopic distal pancreatectomy is a challenging procedure, because the pancreas is surrounded by critical structures and located in the retroperitoneum. Pancreatic fistula remains a common complication in the laparoscopic approach. Distal pancreatic aggressive tumors may not be appropriate for the laparoscopic approach due to the lack of oncologic safety studies.
authors.affiliation: Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA. okudsi@bidmc.harvard.edu
authors.forename: Omar Yusef
authors.initials: OY
authors.lastname: Kudsi
authors.forename: Michel
authors.initials: M
authors.lastname: Gagner
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Jones
mesh_terms: D061887:Conversion to Open Surgery / Q000379:methods; D004322:Drainage / Q000379:methods; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy / Q000379:methods* / Q000401:mortality; D059351:Organ Sparing Treatments / Q000379:methods; D010180:Pancreatectomy / Q000379:methods* / Q000401:mortality; D010185:Pancreatic Fistula / Q000209:etiology / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D056888:Patient Positioning; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D012371:Robotics / Q000379:methods; D013157:Splenic Artery / Q000601:surgery; D013162:Splenic Vein / Q000601:surgery; D013525:Surgical Instruments; D016896:Treatment Outcome