title: Single-access laparoscopic subtotal spleno-pancreatectomy for pancreatic adenocarcinoma.
abstract: Laparoscopic distal or subtotal pancreatectomy can be performed safely and effectively unless there is a clear reason why not to do so. With the aim of reducing postoperative trauma and improving the cosmesis, single-access laparoscopic surgery has been introduced into daily practice. We report the first case of distal single-access laparoscopic pancreasectomy for an adenocarcinoma. The procedure was carried out in 170 minutes without postoperative complications. Despite some technical difficulties, we think that a single-access laparoscopic approach could be adequate for a pancreatic resection. However, an adequate analysis of cost-effectiveness as well as regarding the reproducibility should be carried out.
authors.affiliation: General and Mini-Invasive Surgery, "San Camillo" Hospital , Trento , Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Bracale
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Lazzara
authors.forename: Jacopo
authors.initials: J
authors.lastname: Andreuccetti
authors.forename: Cesare
authors.initials: C
authors.lastname: Stabilini
authors.forename: Giusto
authors.initials: G
authors.lastname: Pignata
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D013156:Splenectomy / Q000379:methods*