Laparoscopic surgery in distal pancreatic tumors
Date
2017-12-01Author
HASBAHCECI, MustafaBektaşoğlu, HÜSEYİN KAZIM
Malya, FATMA ÜMİT
Karatepe, Oguzhan
Taşçı, Yunus
Dolay, KEMAL
Kunduz, ENVER
Advisor
Type
Metadata
Show full item recordAbstract
Objective: Laparoscopic distal pancreatectomy is increasingly being used in the surgical treatment of corpus
and distal pancreatic tumors. In this study, patients who underwent laparoscopic or open distal pancreatectomy for benign or malignant causes were evaluated in terms of tumor characteristics and perioperative outcomes.
Material and Methods: We retrospectively reviewed data from a total of 27 distal pancreatectomy cases performed for benign or malignant causes in the General Surgery Department between January 2013 and December
2015. Groups were compared according to the demographic characteristics of patients, operation type (laparoscopic or open, with splenectomy or spleen preservation), operation time, surgical site infection (superficial,
deep wound infection, or intra-abdominal abscess), pancreatic fistula development, and histopathological examination results.
Results: Both groups were similar in terms of age, sex, and body mass index (p=0.42). Tumor diameter was similar
(p=0.18). The total number of resected lymph nodes was similar in both groups (p=0.6). Pancreatic fistula developed
in one patient in each group. Mean hospital stay duration and the amount of intraoperative bleeding were similar in
both groups. The laparoscopy group had a markedly lower overall morbidity rate (p=0.08). There was no mortality
observed in the study subjects.
Conclusion: Laparoscopic distal pancreatectomy can be safely performed as a minimally invasive procedure in experienced centers and in selected cases without increasing perioperative complication rates, particularly in benign
cases. Although oncological outcomes are acceptable for malignant cases, future prospective controlled studies are
necessary for more reliable evaluation.
Keywords: Laparoscopy, pancreas, oncology
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