title: Laparoscopic middle pancreatectomy: how do I do it?
abstract: BACKGROUND
  Although laparoscopic surgery is now extensively used, laparoscopic middle pancreatectomy (LMP) has rarely been described.
  
  
  METHODS
  A 45-year-old woman was diagnosed with branch duct intraductal papillary mucinous neoplasia (IPMN) at the pancreatic neck, which was discovered after numerous attacks of acute pancreatitis. LMP was decided on for treatment.
  
  
  RESULTS
  The patient underwent pure LMP with right to left dissection and one-layer pancreatogastric anastomosis. Surgery lasted 160 minutes, with 20 mL of blood loss. A frozen section showed negative margins on both sides. The postoperative course was uneventful with 15 days in the hospital. Histology confirmed the diagnosis of branch duct IPMN with moderate dysplasia and negative margins. The patient is symptom free 6 months after surgery.
  
  
  CONCLUSIONS
  Our results and the data in the literature suggest that the laparoscopic approach is indicated for middle pancreatectomy because there are no technical or oncological contraindications and the outcome is similar to that with the open approach.
authors.affiliation: Department of HPB Surgery and Liver Transplantation, Beaujon Hospital , Clichy, France .
authors.forename: Safi
authors.initials: S
authors.lastname: Dokmak
authors.forename: Béatrice
authors.initials: B
authors.lastname: Aussilhou
authors.forename: Fanjandrainy
authors.initials: F
authors.lastname: Rasoaherinomenjanahary
authors.forename: Fadhel Samir
authors.initials: FS
authors.lastname: Ftériche
authors.forename: Manuela
authors.initials: M
authors.lastname: Cesaretti
authors.forename: Jacques
authors.initials: J
authors.lastname: Belghiti
authors.forename: Alain
authors.initials: A
authors.lastname: Sauvanet
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000601:surgery*; D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*