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Laparoscopic total pancreatectomy: Case report and literature review

RATIONALE: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. PATIENTS AND METHODS: Three patients underwent laparoscopic total pancreatectomy between...

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Autores principales: Wang, Xin, Li, Yongbin, Cai, Yunqiang, Liu, Xubao, Peng, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5279089/
https://www.ncbi.nlm.nih.gov/pubmed/28099344
http://dx.doi.org/10.1097/MD.0000000000005869
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author Wang, Xin
Li, Yongbin
Cai, Yunqiang
Liu, Xubao
Peng, Bing
author_facet Wang, Xin
Li, Yongbin
Cai, Yunqiang
Liu, Xubao
Peng, Bing
author_sort Wang, Xin
collection PubMed
description RATIONALE: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. PATIENTS AND METHODS: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. DIAGNOSIS AND OUTCOMES: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. LESSONS: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy.
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spelling pubmed-52790892017-02-08 Laparoscopic total pancreatectomy: Case report and literature review Wang, Xin Li, Yongbin Cai, Yunqiang Liu, Xubao Peng, Bing Medicine (Baltimore) 7100 RATIONALE: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. PATIENTS AND METHODS: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. DIAGNOSIS AND OUTCOMES: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. LESSONS: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. Wolters Kluwer Health 2017-01-20 /pmc/articles/PMC5279089/ /pubmed/28099344 http://dx.doi.org/10.1097/MD.0000000000005869 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle 7100
Wang, Xin
Li, Yongbin
Cai, Yunqiang
Liu, Xubao
Peng, Bing
Laparoscopic total pancreatectomy: Case report and literature review
title Laparoscopic total pancreatectomy: Case report and literature review
title_full Laparoscopic total pancreatectomy: Case report and literature review
title_fullStr Laparoscopic total pancreatectomy: Case report and literature review
title_full_unstemmed Laparoscopic total pancreatectomy: Case report and literature review
title_short Laparoscopic total pancreatectomy: Case report and literature review
title_sort laparoscopic total pancreatectomy: case report and literature review
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5279089/
https://www.ncbi.nlm.nih.gov/pubmed/28099344
http://dx.doi.org/10.1097/MD.0000000000005869
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AT liuxubao laparoscopictotalpancreatectomycasereportandliteraturereview
AT pengbing laparoscopictotalpancreatectomycasereportandliteraturereview