Surgery Today

, Volume 37, Issue 7, pp 535–545 | Cite as

Laparoscopic Pancreatic Resection: The Past, Present, and Future

  • Kyoichi Takaori
  • Nobuhiko Tanigawa
Review Article


Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism, and neoplasms of the pancreas; e.g., insulinoma, mucinous cystic neoplasm, intraductal papillary mucinous neoplasm, etc. Laparoscopic pancreatic resections with an en bloc lymph node dissection have also been performed for invasive carcinomas. The long-term results after laparoscopic resections for invasive pancreatic cancer, however, are still not well defined. Laparoscopic distal pancreatectomies with or without spleen preservation may benefit patients with reduced postoperative pain, shorter hospital stay, a quicker recovery to normal activity, and better cosmetic appearances based on retrospective analyses of collective series and case reports. Prospective randomized controlled trials are needed to validate these benefits. In contrast, laparoscopic proximal pancreatectomies with or without duodenum preservation remain controversial. Although a laparoscopic pancreaticoduodenectomy and laparoscopic duodenum-preserving pancreatic head resection are technically feasible, laparoscopic reconstruction after proximal pancreatectomies is not yet generally practicable but limited to personal experiences by highly skilled endoscopic surgeons. To justify the performance of laparoscopic proximal pancreatectomies, it is mandatory to demonstrate the potential clinical benefits and safety of these complicated procedures.

Key words

Laparoscopic Whipple resection Laparoscopic duodenum-preserving pancreatic head resection Laparoscopic spleen-preserving distal pancreatectomy Intraductal papillary mucinous neoplasm Pancreatic intraepithelial neoplasia 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ishida, H, Furukawa, Y, Kuroda, H, Kobayashi, M, Tsuneoka, K 1981Laparoscopic observation and biopsy of the pancreasEndoscopy136873PubMedCrossRefGoogle Scholar
  2. 2.
    Cuschieri, A, Dubois, F, Mouiel, J, Mouret, P, Becker, H, Buess, G,  et al. 1991The European experience with laparoscopic cholecystectomyAm J Surg1613857PubMedCrossRefGoogle Scholar
  3. 3.
    Gagner, M 2003Pioneers in laparoscopic solid organ surgerySurg Endosc1718534PubMedCrossRefGoogle Scholar
  4. 4.
    Gagner, M, Pomp, A 1994Laparoscopic pylorus-preserving pancreatoduodenectomySurg Endosc840810PubMedCrossRefGoogle Scholar
  5. 5.
    Amikura, K, Alexander, HR, Norton, JA, Doppman, JL, Jensen, RT, Nieman, L,  et al. 1995Role of surgery in management of adrenocorticotropic hormone-producing islet cell tumors of the pancreasSurgery118112530PubMedCrossRefGoogle Scholar
  6. 6.
    Ammori, BJ, El-Dhuwaib, Y, Ballester, P, Augustine, T 2005Laparoscopic distal pancreatectomy for neuroendocrine tumors of the pancreasHepatogastroenterology526204PubMedGoogle Scholar
  7. 7.
    Ammori, BJ, Baghdadi, S 2006Minimally invasive pancreatic surgery: the new frontier?Curr Gastroenterol Rep813242PubMedCrossRefGoogle Scholar
  8. 8.
    Au-Yong, IT, Wemyss-Holden, S, Lloyd, DM 2004Laparoscopic distal pancreatectomy for lymphoepithelial cyst of the pancreasJSLS838990PubMedGoogle Scholar
  9. 9.
    Ayav, A, Bresler, L, Brunaud, L, Boissel, P 2005Laparoscopic approach for solitary insulinoma: a multicentre studyLangenbecks Arch Surg39013440PubMedCrossRefGoogle Scholar
  10. 10.
    Berends, FJ, Cuesta, MA, Kazemier, G, van Eijck, CH, de Herder, WW, Van Muiswinkel, JM,  et al. 2000Laparoscopic detection and resection of insulinomasSurgery12838691PubMedCrossRefGoogle Scholar
  11. 11.
    Carricaburu, E, Enezian, G, Bonnard, A, Berrebi, D, Belarbi, N, Huot, O,  et al. 2003Laparoscopic distal pancreatectomy for Frantz's tumor in a childSurg Endosc17202831PubMedCrossRefGoogle Scholar
  12. 12.
    Chan, WF, Lo, CY, Lo, CM, Fan, ST 2004Laparoscopic resection of a pancreatic polypeptidoma with a solitary liver metastasisSurg Endosc185546PubMedCrossRefGoogle Scholar
  13. 13.
    Chol, YB, Lim, KS 2003Therapeutic laparoscopy for abdominal traumaSurg Endosc174217PubMedCrossRefGoogle Scholar
  14. 14.
    Clark, GJ, Onders, RP, Knudson, JD 1997Laparoscopic distal pancreatectomy procedures in a rural hospitalAORN J6533743CrossRefGoogle Scholar
  15. 15.
    Cuschieri, A 1994Laparoscopic surgery of the pancreasJ R Coll Surg Edinb3917884PubMedGoogle Scholar
  16. 16.
    Cuschieri, A, Jakimowicz, JJ, van Spreeuwel, J 1996Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitisAnn Surg2232805PubMedCrossRefGoogle Scholar
  17. 17.
    Cuschieri, SA, Jakimowicz, JJ 1998Laparoscopic pancreatic resectionsSemin Laparosc Surg516879PubMedGoogle Scholar
  18. 18.
    Cuschieri, A 2000Laparoscopic hand-assisted surgery for hepatic and pancreatic diseaseSurg Endosc149916PubMedCrossRefGoogle Scholar
  19. 19.
    D’Angelica, M, Are, C, Jarnagin, W, DeGregoris, G, Coit, D, Jaques, D,  et al. 2006Initial experience with hand-assisted laparoscopic distal pancreatectomySurg Endosc201428PubMedCrossRefGoogle Scholar
  20. 20.
    DeRubertis, BG, McGinty, J, Rivera, M, Miskovitz, PF, Fahey, TJ,3rd 2004Laparoscopic distal pancreatectomy for inflammatory pseudotumor of the pancreasSurg Endosc181001PubMedGoogle Scholar
  21. 21.
    de Wilt, JH, van Eijck, CH, Hussain, SM, Bonjer, HJ 2003Laparoscopic spleen preserving distal pancreatectomy after blunt abdominal traumaInjury342334PubMedCrossRefGoogle Scholar
  22. 22.
    Doi, R, Ito, D, Fujimoto, K, Komoto, I, Ohta, Y, Torii, M,  et al. 2003Hand-assisted laparoscopic resection of serous cystadenoma of the pancreasSurg Endosc17202831PubMedCrossRefGoogle Scholar
  23. 23.
    Dulucq, JL, Wintringer, P, Stabilini, C, Feryn, T, Perissat, J, Mahajna, A 2005Are major laparoscopic pancreatic resections worthwhile? A prospective study of 32 patients in a single institutionSurg Endosc19102834PubMedCrossRefGoogle Scholar
  24. 24.
    Edwin, B, Mala, T, Mathisen, O, Gladhaug, I, Buanes, T, Lunde, OC,  et al. 2004Laparoscopic resection of the pancreas: a feasibility study of the short-term outcomeSurg Endosc1840711PubMedCrossRefGoogle Scholar
  25. 25.
    Fabre, JM, Dulucq, JL, Vacher, C, Lemoine, MC, Wintringer, P, Nocca, D,  et al. 2002Is laparoscopic left pancreatic resection justified?Surg Endosc16135861PubMedCrossRefGoogle Scholar
  26. 26.
    Fernandez-Cruz, L, Saenz, A, Astudillo, E, Martinez, I, Hoyos, S, Pantoja, JP,  et al. 2002Outcome of laparoscopic pancreatic surgery: endocrine and nonendocrine tumorsWorld J Surg26105765PubMedCrossRefGoogle Scholar
  27. 27.
    Fernandez-Cruz, L, Saenz, A, Astudillo, E, Pantoja, JP, Uzcategui, E, Navarro, S 2002Laparoscopic pancreatic surgery in patients with chronic pancreatitisSurg Endosc169961003PubMedCrossRefGoogle Scholar
  28. 28.
    Fernandez-Cruz, L, Martinez, I, Gilabert, R, Cesar-Borges, G, Astudillo, E, Navarro, S 2004Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreasJ Gastrointest Surg8493501PubMedCrossRefGoogle Scholar
  29. 29.
    Fernandez-Cruz, L, Martinez, I, Cesar-Borges, G, Astudillo, E, Orduna, D, Halperin, I,  et al. 2005Laparoscopic surgery in patients with sporadic and multiple insulinomas associated with multiple endocrine neoplasia type 1J Gastrointest Surg93818PubMedCrossRefGoogle Scholar
  30. 30.
    Gagner, M, Pomp, A, Herrera, MF 1996Early experience with laparoscopic resections of islet cell tumorsSurgery12010514PubMedCrossRefGoogle Scholar
  31. 31.
    Gagner, M, Pomp, A 1997Laparoscopic pancreatic resection: is it worthwhile?J Gastrointest Surg1206PubMedGoogle Scholar
  32. 32.
    Gagner, M, Gentileschi, P 2001Hand-assisted laparoscopic pancreatic resectionSemin Laparosc Surg811425PubMedCrossRefGoogle Scholar
  33. 33.
    Giovanardi, RO, Giovanardi, HJ, Fontana, CA, Kuhn, F, Kalil, AN 2005Laparoscopic distal pancreatectomy for insulinoma with preservation of the spleenHepatogastroenterology522613PubMedGoogle Scholar
  34. 34.
    Gramatica, L,Jr, Herrera, MF, Mercado-Luna, A, Sierra, M, Verasay, G, Brunner, N 2002Videolaparoscopic resection of insulinomas: experience in two institutionsWorld J Surg261297300PubMedCrossRefGoogle Scholar
  35. 35.
    Gruessner, RW, Kandaswamy, R, Denny, R 2001Laparoscopic simultaneous nephrectomy and distal pancreatectomy from a live donorJ Am Coll Surg1933337PubMedCrossRefGoogle Scholar
  36. 36.
    Hamada, T, Isaji, S, Mizuno, S, Tabata, M, Yamagiwa, K, Yokoi, H,  et al. 2004Laparoscopic spleen-preserving pancreatic tail resection for an intrapancreatic accessory spleen mimicking a nonfunctioning endocrine tumor: report of a caseSurg Today3487881PubMedCrossRefGoogle Scholar
  37. 37.
    Han, HS, Min, SK, Lee, HK, Kim, SW, Park, YH 2005Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasmSurg Endosc1913679PubMedCrossRefGoogle Scholar
  38. 38.
    Hernandez, DJ, Kavoussi, LR, Ellison, LM 2003Laparoscopic distal pancreatectomy for metastatic renal cell carcinomaUrology62551PubMedCrossRefGoogle Scholar
  39. 39.
    Kano, N, Kusanagi, H, Yamada, S, Kasama, K, Ota, A 2002Laparoscopic pancreatic surgery: its indications and techniques: from the viewpoint of limiting the indicationsJ Hepatobiliary Pancreat Surg95558PubMedCrossRefGoogle Scholar
  40. 40.
    Khanna, A, Koniaris, LG, Nakeeb, A, Schoeniger, LO 2005Laparoscopic spleen-preserving distal pancreatectomyJ Gastrointest Surg97338PubMedCrossRefGoogle Scholar
  41. 41.
    Klingler, PJ, Hinder, RA, Menke, DM, Smith, SL 1998Hand-assisted laparoscopic distal pancreatectomy for pancreatic cystadenomaSurg Laparosc Endosc81804PubMedCrossRefGoogle Scholar
  42. 42.
    Lebedyev, A, Zmora, O, Kuriansky, J, Rosin, D, Khaikin, M, Shabtai, M,  et al. 2004Laparoscopic distal pancreatectomySurg Endosc18142730PubMedCrossRefGoogle Scholar
  43. 43.
    Li, JC, Ng, SS, Teoh, AY, Leung, KL 2006Laparoscopic spleen-preserving pancreatectomy for traumatic pancreatic transection: a case reportSurg Laparosc Endosc Percutan Tech16413PubMedCrossRefGoogle Scholar
  44. 44.
    Lo, CY, Chan, WF, Lo, CM, Fan, ST, Tam, PK 2004Surgical treatment of pancreatic insulinomas in the era of laparoscopySurg Endosc1829730PubMedCrossRefGoogle Scholar
  45. 45.
    Mabrut, JY, Boulez, J, Peix, JL, Gigot, JF, Gouillat, C, de La Roche, E,  et al. 2005Laparoscopic pancreatic resection: a preliminary experience of 15 patientsHepatogastroenterology522302PubMedGoogle Scholar
  46. 46.
    Mabrut, JY, Fernandez-Cruz, L, Azagra, JS, Bassi, C, Delvaux, G, Weerts, J,  et al. 2005Hepatobiliary and Pancreatic Section (HBPS) of the Royal Belgian Society of Surgery; Belgian Group for Endoscopic Surgery (BGES); Club Coelio. Laparoscopic pancreatic resection: results of a multicenter European study of 127 patientsSurgery137597605PubMedCrossRefGoogle Scholar
  47. 47.
    Mahon, D, Allen, E, Rhodes, M 2002Laparoscopic distal pancreatectomy. Three cases of insulinomaSurg Endosc167002PubMedCrossRefGoogle Scholar
  48. 48.
    Maruyama, M, Kenmochi, T, Asano, T, Saigo, K, Miyauchi, H, Miura, F,  et al. 2004Laparoscopic distal pancreatectomy as the total biopsy of the pancreas: tool of minimally invasive surgeryJ Hepatobiliary Pancreat Surg112902PubMedCrossRefGoogle Scholar
  49. 49.
    Matsumoto, T, Kitano, S, Yoshida, T, Bandoh, T, Kakisako, K, Ninomiya, K,  et al. 1999Laparoscopic resection of a pancreatic mucinous cystadenoma using laparosonic coagulating shearsSurg Endosc131723PubMedCrossRefGoogle Scholar
  50. 50.
    Matsumoto, T, Hirano, S, Yada, K, Himeno, Y, Shibata, K, Aramaki, M,  et al. 2005Safety and efficacy of laparoscopic distal pancreatectomy for the treatment of pancreatic diseaseJ Hepatobiliary Pancreat Surg126570PubMedCrossRefGoogle Scholar
  51. 51.
    Mori, T, Abe, N, Sugiyama, M, Atomi, Y 2002Laparoscopic hepatobiliary and pancreatic surgery: an overviewJ Hepatobiliary Pancreat Surg971022PubMedCrossRefGoogle Scholar
  52. 52.
    Mori, T, Abe, N, Sugiyama, M, Atomi, Y 2005Laparoscopic pancreatic surgeryJ Hepatobiliary Pancreat Surg124515PubMedCrossRefGoogle Scholar
  53. 53.
    Park, A, Schwartz, R, Tandan, V, Anvari, M 1999Laparoscopic pancreatic surgeryAm J Surg17715863PubMedCrossRefGoogle Scholar
  54. 54.
    Park, AE, Heniford, BT 2002Therapeutic laparoscopy of the pancreasAnn Surg23614958PubMedCrossRefGoogle Scholar
  55. 55.
    Patterson, EJ, Gagner, M, Salky, B, Inabnet, WB, Brower, S, Edye, M,  et al. 2001Laparoscopic pancreatic resection: single-institution experience of 19 patientsJ Am Coll Surg1932817PubMedCrossRefGoogle Scholar
  56. 56.
    Pietrabissa, A, Moretto, C, Boggi, U, Di Candio, G, Mosca, F 2004Laparoscopic distal pancreatectomy: are we ready for a standardized technique?Semin Laparosc Surg1117983PubMedGoogle Scholar
  57. 57.
    Ramuz, O, Lelong, B, Giovannini, M, Delpero, JR, Rochaix, P, Xerri, L,  et al. 2005“Sugar” tumor of the pancreas: a rare entity that is diagnosable on preoperative fine-needle biopsiesVirchows Arch4465559PubMedCrossRefGoogle Scholar
  58. 58.
    Reynolds, EM, Curnow, AJ 2003Laparoscopic distal pancreatectomy for traumatic pancreatic transectionJ Pediatr Surg38E79PubMedCrossRefGoogle Scholar
  59. 59.
    Root, J, Nguyen, N, Jones, B, McCloud, S, Lee, J, Nguyen, P,  et al. 2005Laparoscopic distal pancreatic resectionAm Surg717449PubMedGoogle Scholar
  60. 60.
    Sayad, P, Cacchione, R, Ferzli, G 2001Laparoscopic distal pancreatectomy for blunt injury to the pancreas. A case reportSurg Endosc15759PubMedCrossRefGoogle Scholar
  61. 61.
    Shimizu, S, Tanaka, M, Konomi, H, Tamura, T, Mizumoto, K, Yamaguchi, K 2004Spleen-preserving laparoscopic distal pancreatectomy after division of the splenic vesselsJ Laparoendosc Adv Surg Tech A141737PubMedCrossRefGoogle Scholar
  62. 62.
    Shimizu, S, Tanaka, M, Konomi, H, Mizumoto, K, Yamaguchi, K 2004Laparoscopic pancreatic surgery: current indications and surgical resultsSurg Endosc184026PubMedCrossRefGoogle Scholar
  63. 63.
    Shinchi, H, Takao, S, Noma, H, Mataki, Y, Iino, S, Aikou, T 2001Hand-assisted laparoscopic distal pancreatectomy with minilaparotomy for distal pancreatic cystadenomaSurg Laparosc Endosc Percutan Tech1113943PubMedCrossRefGoogle Scholar
  64. 64.
    Sussman, LA, Christie, R, Whittle, DE 1996Laparoscopic excision of distal pancreas including insulinomaAust N Z J Surg664146PubMedGoogle Scholar
  65. 65.
    Tagaya, N, Kasama, K, Suzuki, N,  et al. 2003Laparoscopic resection of the pancreas and review of the literatureSurg Endosc172016PubMedCrossRefGoogle Scholar
  66. 66.
    Tan, M, Kandaswamy, R, Sutherland, DE, Gruessner, RW 2005Laparoscopic donor distal pancreatectomy for living donor pancreas and pancreas-kidney transplantationAm J Transplant5196670PubMedCrossRefGoogle Scholar
  67. 67.
    Ueno, T, Oka, M, Nishihara, K, Yamamoto, K, Nakamura, M, Yahara, N,  et al. 1999Laparoscopic distal pancreatectomy with preservation of the spleenSurg Laparosc Endosc Percutan Tech92903PubMedCrossRefGoogle Scholar
  68. 68.
    Velanovich, V 2006Case-control comparison of laparoscopic versus open distal pancreatectomyJ Gastrointest Surg10958PubMedCrossRefGoogle Scholar
  69. 69.
    Vezakis, A, Davides, D, Larvin, M, McMahon, MJ 1999Laparoscopic surgery combined with preservation of the spleen for distal pancreatic tumorsSurg Endosc13269PubMedCrossRefGoogle Scholar
  70. 70.
    Watanabe, Y, Sato, M, Kikkawa, H, Shiozaki, T, Yoshida, M, Yamamoto, Y,  et al. 2002Spleen-preserving laparoscopic distal pancreatectomy for cystic adenomaHepatogastroenterology4914852PubMedGoogle Scholar
  71. 71.
    Yada, K, Hirano, S, Himeno, Y, Shibata, K, Matsumoto, T, Aramaki, M,  et al. 2003Laparoscopic resection for nonfunctioning small glucagon-producing tumor: report of a case and review of the literatureJ Hepatobiliary Pancreat Surg103825PubMedCrossRefGoogle Scholar
  72. 72.
    Ammori, BJ 2004Laparoscopic hand-assisted pancreaticoduodenectomy: initial UK experienceSurg Endosc187178CrossRefGoogle Scholar
  73. 73.
    De Vroede, M, Bax, NM, Brusgaard, K, Dunne, MJ, Groenendaal, F 2004Laparoscopic diagnosis and cure of hyperinsulinism in two cases of focal adenomatous hyperplasia in infancyPediatrics1145202CrossRefGoogle Scholar
  74. 74.
    Blakely, ML, Lobe, TE, Cohen, J, Burghen, GA 2001Laparoscopic pancreatectomy for persistent hyperinsulinemic hypoglycemia of infancySurg Endosc158978PubMedGoogle Scholar
  75. 75.
    Kimura, Y, Hirata, K, Mukaiya, M, Mizuguchi, T, Koito, K, Katsuramaki, T 2005Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head diseaseAm J Surg1897347PubMedCrossRefGoogle Scholar
  76. 76.
    Orsenigo, E, Baccari, P, Bissolotti, G, Staudacher, C 2006Laparoscopic central pancreatectomyAm J Surg19154952PubMedCrossRefGoogle Scholar
  77. 77.
    Palanivelu, C 2005Art of laparoscopic surgery — Text book and atlas. 1st ed. Vol. 2Jaya PublicationCoimbatore91140Google Scholar
  78. 78.
    Staudacher, C, Orsenigo, E, Baccari, P, Di Palo, S, Crippa, S 2005Laparoscopic assisted duodenopancreatectomySurg Endosc193526PubMedCrossRefGoogle Scholar
  79. 79.
    Teixeira, J, Gibbs, KE, Vaimakis, S, Rezayat, C 2003Laparoscopic Roux-en-Y pancreatic cyst-jejunostomySurg Endosc1719103PubMedCrossRefGoogle Scholar
  80. 80.
    Pamoukian, VN, Gagner, M 2001Laparoscopic necrosectomy for acute necrotizing pancreatitisJ Hepatobiliary Pancreat Surg82213PubMedCrossRefGoogle Scholar
  81. 81.
    Fekete, CN, de Lonlay, P, Jaubert, F, Rahier, J, Brunelle, F, Saudubray, JM 2004The surgical management of congenital hyperinsulinemic hypoglycemia in infancyJ Pediatr Surg392679PubMedCrossRefGoogle Scholar
  82. 82.
    De Ugarte, DA, Dutson, EP, Hiyama, DT 2006Annular pancreas in the adult: management with laparoscopic gastrojejunostomyAm Surg72713PubMedGoogle Scholar
  83. 83.
    Iihara, M, Kanbe, M, Okamoto, T, Ito, Y, Obara, T 2001Laparoscopic ultrasonography for resection of insulinomasSurgery130108691PubMedCrossRefGoogle Scholar
  84. 84.
    Lo, CY, Lo, CM, Fan, ST 2000Role of laparoscopic ultrasonography in intraoperative localization of pancreatic insulinomaSurg Endosc1411315PubMedCrossRefGoogle Scholar
  85. 85.
    Pietrabissa, A, Shimi, SM, Vander Velpen, G, Cuschieri, A 1993Localization of insulinoma by laparoscopic infragastric inspection of the pancreas and contact ultrasonographySurg Oncol2836PubMedCrossRefGoogle Scholar
  86. 86.
    Imamura, M, Komoto, I, Ota, S 2006Changing treatment strategy for gastrinoma in patients with Zollinger-Ellison syndromeWorld J Surg30111PubMedCrossRefGoogle Scholar
  87. 87.
    Maitra, A, Fukushima, N, Takaori, K, Hruban, RH 2005Precursors to invasive pancreatic cancerAdv Anat Pathol128191PubMedCrossRefGoogle Scholar
  88. 88.
    Hruban, RH, Takaori, K, Klimstra, DS, Adsay, NV, Albores-Saavedra, J, Biankin, AV,  et al. 2004An illustrated consensus on the classification of pancreatic intraepithelial neoplasia and intraductal papillary mucinous neoplasmsAm J Surg Pathol2897787PubMedCrossRefGoogle Scholar
  89. 89.
    Warshaw, AL 1988Conservation of the spleen with distal pancreatectomyArch Surg1235503PubMedGoogle Scholar
  90. 90.
    Heniford, BT, Matthews, BD, Sing, RF, Backus, C, Pratt, B, Greene, FL 2001Initial results with an electrothermal bipolar vessel sealerSurg Endosc15799801PubMedCrossRefGoogle Scholar
  91. 91.
    Takao, S, Shinchi, H, Maemura, K, Aikou, T 2000Ultrasonically activated scalpel is an effective tool for cutting the pancreas in biliary-pancreatic surgery: experimental and clinical studiesJ Hepatobiliary Pancreat Surg75862PubMedCrossRefGoogle Scholar
  92. 92.
    Yamaguchi, K, Tanaka, M, Chijiiwa, K, Nagakawa, T, Imamura, M, Takada, T 1999Early and late complications of pylorus-preserving pancreatoduodenectomy in Japan 1998J Hepatobiliary Pancreat Surg630311PubMedCrossRefGoogle Scholar
  93. 93.
    Takaori, K, Nomura, E, Mabuchi, H, Lee, SW, Agui, T, Miyamoto, Y,  et al. 2005A secure technique of intracorporeal Roux-Y reconstruction after laparoscopic distal gastrectomyAm J Surg18917883PubMedCrossRefGoogle Scholar
  94. 94.
    Hanly, EJ, Talamini, MA 2004Robotic abdominal surgeryAm J Surg18819S26SPubMedCrossRefGoogle Scholar
  95. 95.
    Melvin, WS, Needleman, BJ, Krause, KR, Schneider, C, Wolf, RK, Michler, RE,  et al. 2002Computer-enhanced robotic telesurgery. Initial experience in foregut surgerySurg Endosc1617902PubMedCrossRefGoogle Scholar
  96. 96.
    Clinical Outcomes of Surgical Therapy Study Group2004A comparison of laparoscopically assisted and open colectomy for colon cancerN Engl J Med35020509CrossRefGoogle Scholar
  97. 97.
    Takaori, K, Hruban, RH, Maitra, A, Tanigawa, N 2004Pancreatic intraepithelial neoplasiaPancreas2825762PubMedCrossRefGoogle Scholar
  98. 98.
    Takaori, K 2007Current understanding of precursors to pancreatic cancerJ Hepatobiliary Pancreat Surg1421723PubMedCrossRefGoogle Scholar
  99. 99.
    Hruban, RH, Takaori, K, Canto, M, Fishman, EK, Campbell, K, Brune, K,  et al. 2007The clinical importance of precursor lesions in the pancreasJ Hepatobiliary Pancreat Surg1425563PubMedCrossRefGoogle Scholar
  100. 100.
    Okazaki, K, Chiba, T 2002Autoimmune related pancreatitisGut5114PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Kyoichi Takaori
    • 1
  • Nobuhiko Tanigawa
    • 1
  1. 1.Department of General and Gastroenterological SurgeryOsaka Medical CollegeOsakaJapan

Personalised recommendations