Laparoscopic central pancreatic resection.

ABSTRACT

BACKGROUND/AIMS: The reported experience on laparoscopic central pancreatic resection is limited. This paper describes the technical aspects of a total laparoscopic central pancreatic resection. METHODOLOGY: This paper focuses on patient positioning, trocar set up, technical aspect of laparoscopic lesser sac exposure, peripancreatic dissection, proximal pancreatic transection and a Roux-en-Y end to side pancreaticojejunostomy using all intracorporeal technique. CONCLUSIONS: Advanced laparoscopic technique has allowed complex major pancreatic resection including central pancreatic resection to be performed safely. In selected patients, laparoscopic central pancreatic resection can be considered the operation of choice for a non malignant pancreatic neck lesion.