title: [Complications of minimally invasive pancreas resection for pancreatic neuroendocrine tumors].
abstract: BACKGROUND
  Laparoscopic pancreas resections are performed with increasing frequency for pancreatic neuroendocrine tumors and other benign and malignant diseases.
  
  
  OBJECTIVE
  This article describes the complications arising from laparoscopic resection of pancreatic neuroendocrine tumors and compares them to complications arising from similar open procedures.
  
  
  METHODS
  Case series, reports, trials and meta-analyses were analyzed and the results are described and discussed.
  
  
  RESULTS
  The types and the frequencies of complications are comparable for laparoscopic and open resection of pancreatic neuroendocrine tumors. The lack of the ability to perform an intraoperative examination of the pancreas to detect the tumors can be alleviated by laparoscopic ultrasound examination or in the case of tumors expressing somatostatin receptors by preoperative DOTATATE positron emission tomography (PET) computed tomography (CT) scanning.
  
  
  CONCLUSIONS
  The complications arising from the resection of pancreatic neuroendocrine tumors do not justify a recommendation for a laparoscopic or open approach.
authors.affiliation: Department Chirurgie, Klinik für Allgemein- und Visceralchirurgie, Universitätsklinikum Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland, uwe.wittel@uniklinik-freiburg.de.
authors.forename: U A
authors.initials: UA
authors.lastname: Wittel
authors.forename: U T
authors.initials: UT
authors.lastname: Hopt
mesh_terms: D018278:Carcinoma, Neuroendocrine / Q000175:diagnosis / Q000601:surgery*; D003430:Cross-Sectional Studies; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D064847:Multimodal Imaging; D010180:Pancreatectomy / Q000009:adverse effects*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D049268:Positron-Emission Tomography; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography