Xingjun Guo,Renyi Qin. Laparoscopic middle pancreatectomy. Oncol Transl Med, 2016, 2: 249-250. |
Laparoscopic middle pancreatectomy |
Received:August 05, 2016 Revised:December 01, 2016 |
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KeyWord:laparoscopic; middle pancreatectomy; minimally invasive surgery |
Author Name | Affiliation | E-mail | Xingjun Guo | Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China | xjguo@tjh.tjmu.edu.cn | Renyi Qin | Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China | ryqin@tjh.tjmu.edu.cn |
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Abstract: |
Pancreaticoduodenectomy and distal pancreatectomy are the traditional surgical treatments of tumors
in the neck or body of the pancreas. Although resecting the lesions successfully, these procedures
can also, however, lead the substantial loss of normal pancreatic parenchyma, causing endocrine and
exocrine function disorder. The combination of distal pancreatectomy with splenectomy increased the risk
of thrombosis sometimes. So the surgical trauma is too great, especially for benign and lower malignant
tumors located in the neck or body of the pancreas. While, middle pancreatectomy may decrease operative
trauma with the excision of these lesions, and can maximize the retention of pancreatic parenchyma,
and maintain pancreatic endocrine and exocrine function integrity. The procedure is interesting but rarely
performed. With the application and development of minimally invasive surgical techniques, laparoscopic
and robotic middle pancreatectomy are available now. Researches about laparoscopic and robotic middle
pancreatectomy are presented, with decreased morbidity, reduced operation time and hospital stay. There
is only a few reports on the two procedures, but the security and effectiveness of them are suggested. |
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