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Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome

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Abstract

Background: Laparoscopic resection is not an established treatment for tumors of the pancreas. We report our preliminary experience with this innovative approach to pancreatic disease. Methods: Thirty two patients with pancreatic disease were included in the study on an intention-to-treat basis. The preoperative indications for surgery were as follows: neuroendocrine tumors (n=13), unspecified tumors (n=11), cysts (n=2), idiopathic thrombocytopenic purpura with ectopic spleen (n=2), annular pancreas (n=1), trauma (n=1), aneurysm of the splenic artery (n=1), and adenocarcinoma (n=1). Results: Enucleations (n=7) and distal pancreatectomy with (n=12) and without splenectomy (n=5) were performed. Three patients underwent laparoscopic exploration only. Four procedures (13%) were converted to an open technique. One resection was converted to a hand-assisted procedure. The mortality rate for patients undergoing laparoscopic resection was 8.3% (two of 24). Complications occurred after resection in nine of 24 procedures (38%). The median hospital stay was 5.5 days (range, 2–22). Postoperatively, opioid medication was given for a median of 2 days (range, 0–13). Conclusion: Resection of the pancreas can be performed safely via the laparoscopic approach with all the potential benefits to the patients of minimally invasive surgery.

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Authors and Affiliations

  1. Interventional Center and Surgical Department, Rikshospitalet, Oslo, Norway

    B. Edwin, T. Mala, Ø. Mathisen, I. Gladhaug, A. Bergan & E. Fosse

  2. Ullevål University Hospital, Oslo, Norway

    T. Buanes

  3. Aker University Hospital, Oslo, Norway

    O. C. Lunde

  4. Center for Health Technology Assessment, Sintef, 0314, Oslo, Norway

    O. Søreide

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  1. B. Edwin
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  2. T. Mala
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  3. Ø. Mathisen
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  4. I. Gladhaug
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  5. T. Buanes
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  9. E. Fosse
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Correspondence to T. Mala.

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Edwin, B., Mala, T., Mathisen, Ø. et al. Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome. Surg Endosc 18, 407–411 (2004). https://doi.org/10.1007/s00464-003-9007-y

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  • DOI: https://doi.org/10.1007/s00464-003-9007-y

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