Introduction: Laparoscopic left-sided pancreatectomy (LLP) is an accepted technique for the treatment of benign and pre-malignant lesions of the left side of the pancreas, but there is still controversy on its use for malignant ones. Objective: To evaluate our results in LLP as a routine technique for primary lesions of the left pancreas. Patients and methods: We performed LLP in 15 patients for primary lesions of the pancreas from November 2007 to November 2011. An intra-abdominal drainage was left in all cases, and the recommendations of the International Study Group for Pancreatic Fistula were followed. Results: The mean age of the patients was 64 ± 13 years. Six radical spleno-pancreatectomies, 3 corporo-caudal with preservation of the spleen, and 6 pure distal (4 with preservation of the spleen). There was one conversion. The mean surgical time was 230 ± 69. minutes. The mean post-operative stay was 8.1 ± 7.6 days. At 90 days, complications were detected in 4 patients; 3 grade ii and one grade v according to the modified classification of Clavien. There was one grade B pancreatic fistula. The diagnosis was a malignant neoplasm in 53% of cases. The number of resected lymph nodes in the cases where a radical resection was planned due to cancer was 21.7 ± 11.5, there being negative margins in all cases. Conclusions: LLP may be considered as a suitable technique for the treatment of primary pancreatic lesions, including malignant ones, provided that it is performed by groups with experience in pancreatic surgery and highly trained in laparoscopic surgery. © 2012 AEC.
|Publication status||Published - 1 Jan 2013|
- Laparoscopic distal pancreatectomy
- Laparoscopic distal spleno-pancreatectomy
- Laparoscopic left pancreatectomy
- Pancreas cancer
- Pancreatic fistula
- Pancreatic neuroendocrine tumours