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Laparoscopic distal pancreatectomy for adenocarcinoma of the pancreas
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
2014 (English)In: World Journal of Gastroenterology, ISSN 1007-9327, E-ISSN 2219-2840, Vol. 20, no 37, 13402-13411 p.Article in journal (Refereed) Published
Abstract [en]

Since the first report on laparoscopic distal pancreatectomy (LDP) appeared in the 1990s, the procedure has been performed increasingly frequently to treat both benign and malignant lesions of the pancreas. Many earlier publications have shown LDP to be a good alternative to open distal pancreatectomy for benign lesions, although this has never been studied in a prospective, randomized manner. The evidence for the use of LDP to treat adenocarcinoma of the pancreas is not as well established. The purpose of this review is to evaluate the current evidence for LDP in cases of pancreatic adenocarcinoma. We conducted a review of English language publications reporting LDP results between 1990 and 2013. All studies reporting results in patients with histologically proven pancreatic adenocarcinoma were included. Thirty-nine publications were found and included in the results for a total of 309 cases of pancreatic adenocarcinoma (potential double publications were not eliminated). Most LDP procedures are performed in selected cases and generally involve smaller tumors than open distal pancreatectomy (ODP) procedures. Some of the papers report unselected cases and include procedures on larger tumors. The number of lymph nodes harvested using LDP is comparable to the number obtained with ODP, as is the frequency of R0 resections. Current data suggest that similar short term oncological results can be obtained using LDP as those obtained using ODP.

Place, publisher, year, edition, pages
Baishideng Publishing Group Co. Limited , 2014. Vol. 20, no 37, 13402-13411 p.
Keyword [en]
Adenocarcinoma of the pancreas; Laparoscopy; Distal pancreatectomy; Surgical margins; Pancreatic resection
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-112482DOI: 10.3748/wjg.v20.i37.13402ISI: 000343881200016PubMedID: 25309072OAI: oai:DiVA.org:liu-112482DiVA: diva2:766746
Available from: 2014-11-28 Created: 2014-11-28 Last updated: 2017-12-05

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Björnsson, BergthorSandström, Per

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