Laparoscopic Distal Pancreatectomy

  • Andrea Laurenzi
  • Daniel Pietrasz
  • Gabriella Pittau
  • Antonio Sa CunhaEmail author


Laparoscopic distal pancreatectomy (LDP) was firstly described by Gagner in 1996 [1]. Nevertheless 20 years have passed from the first resection, the rate of laparoscopic approach remains between 10–20% in national wide series [2–4]. Recently a Cochrane review has compared the open to the laparoscopic approach in the treatment of pancreatic cancer [5]. In such review there are no differences between the two groups in terms of post-operative mortality, morbidity, pancreatic fistula, resection margins and disease recurrence. The only statistically significant difference is the length of hospital stay, which is in favor of laparoscopic approach. Currently there is an ongoing randomized clinical trial comparing the open versus laparoscopic distal pancreatectomy (Leopard NTR 5188).


Laparoscopy Pancreas Distal Splenectomy 

Supplementary material

Video 22.1

Distal pancreatectomy (MP4 1304262 kb)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Andrea Laurenzi
    • 1
  • Daniel Pietrasz
    • 1
  • Gabriella Pittau
    • 1
  • Antonio Sa Cunha
    • 1
    Email author
  1. 1.Hepatobiliary Center, Paul Brousse Hospital, University of Paris SudVillejuifFrance

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