REVIEW   

Minerva Chirurgica 2014 December;69(6):371-8

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

Laparoscopic pancreatic surgery

He J., Pawlik T. M., Makary M. A., Wolfgang C. L., Weiss M. J. ✉

Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA

Laparoscopic pancreatectomy may be associated with lower operative morbidity, less postoperative pain, lower wound infection rates, decreased physiological stress, and fewer postoperative hernias and bowel obstructions. In this review, we summarize the current data on laparoscopic and robotic assisted pancreaticoduodenectomy/distal pancreatectomy/central pancreatectomy. We reviewed the indications, the perioperative and oncologic outcomes, and the cost analysis following minimally invasive pancreatic resections. In conclusion, we found minimally invasive approaches to pancreatic resections are feasible, safe, and appear to have comparable oncologic outcomes to the standard open approaches when performed by experienced surgeons at high-volume centers. The potential advantages of a minimally invasive approach to pancreatic surgery, such as reduced blood loss and shorter length of hospital stay, have now been well established. The overall cost of laparoscopic pancreatectomy appears to be similar to that of the open approach.