Current Gastroenterology Reports

, Volume 11, Issue 2, pp 128–133 | Cite as

Laparoscopic pancreatic surgery: What now and what next?

  • Elizabeth A. Warner
  • Kfir Ben-David
  • Juan C. Cendan
  • Kevin E. Behrns
Article
First Online:

Abstract

In recent years, improved laparoscopic skill sets have expanded surgical management of pancreatic disease to encompass pancreatic resection, tumor enucleation, débridement, and drainage. With the aid of radio-logically guided drainage catheters, necrosectomy for acute pancreatitis can be delayed and accomplished laparoscopically in a select patient population. Pancreatic pseudocysts from chronic pancreatitis can now be approached via minimally invasive strategies, including emerging combined laparoendoscopic procedures and natural orifice transluminal endoscopic surgery. It is clear that laparoscopic pancreaticoduodenectomy is possible in experienced hands; pancreatic neoplasms in the body and tail are more suitable for laparoscopic procedures because distal pancreatic resection requires no reconstruction of the biliary or enteric tract. Laparoscopic staging of pancreatic tumors has decreased as preoperative radiographic imaging becomes more sensitive. Similarly, laparoscopic palliative procedures have decreased because of the emergence of other minimally invasive options for relieving gastric outlet obstruction and biliary obstruction. Nonetheless, major advances in minimally invasive pancreatic surgery will continue as technology and skill sets advance.

Keywords

Chronic Pancreatitis Distal Pancreatectomy Pancreatic Resection Pancreatic Pseudocysts Laparoscopic Distal Pancreatectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Current Medicine Group, LLC 2009

Authors and Affiliations

  • Elizabeth A. Warner
  • Kfir Ben-David
  • Juan C. Cendan
  • Kevin E. Behrns
    • 1
  1. 1.Department of SurgeryUniversity of FloridaGainesvilleUSA

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