Laparoscopic Distal Pancreatectomy: How I Do It
After the widespread introduction of laparoscopic surgery being more and more frequently applied to both benign and malignant lesions, this technique has now become the golden standard for benign and premalignant tumors in the body and the tail of the pancreas. The main reasons for this are decreased blood loss and reduced need for hospital stay, which has been fairly well documented although randomized controlled trials are missing. The use of laparoscopy for distal pancreatectomy in the cases of pancreatic adenocarcinomas is less studied and still not as widespread. There is however some evidence that even this situation can be treated with laparoscopic approach with similar results as open surgery.
This chapter describes an approach to laparoscopic spleno-pancreatectomy in the settings of suspected or confirmed pancreatic adenocarcinoma. The specific approach to locally advanced tumors demanding vascular resections or multi-organ resections is outside the scope of this text.
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