[Laparoscopic distal pancreatectomy for pancreatic cystadenomas]. / Pancreatectomia distal videolaparoscópica em pacientes com cistadenoma de pâncreas.
Arq Gastroenterol
; 42(3): 157-60, 2005.
Article
en Pt
| MEDLINE
| ID: mdl-16200251
ABSTRACT
BACKGROUND:
Cystic neoplasms are an uncommon group among pancreatic tumors. These lesions are seen more frequently in recent surgical practice, probably because of advances in diagnostic and surgical techniques. Total tumor resection provides the best chance of cure and may remove the risk of malignant transformation of the cystadenomas, particularly of the mucinous type. Minimally invasive techniques have been revolutionary and provide clinical evidence of decreased morbidity and comparable efficacy to traditional, open surgery. However, laparoscopic pancreatic resection is not an established treatment for tumors of the pancreas.AIM:
The authors present their initial experience with laparoscopic distal pancreatectomy for pancreatic cystadenomas. MATERIAL ANDMETHODS:
Three female patients (mean age, 55 years) underwent laparoscopic pancreatic resection between September 2001 and December 2003.RESULTS:
Laparoscopic pancreatic resection was successfully performed in all patients. Operative time varied between 4 and 6 hours. Intraoperative bleeding was minimal. Due to a thick pancreas, the application of vascular endoscopic stapler was difficult in one patient. Two patients presented postoperative pancreatic leakage with spontaneous resolution.CONCLUSIONS:
Resection of the pancreas can be safely performed via the laparoscopic approach with all the potential benefits to the patients of minimally invasive surgery.
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Base de datos:
MEDLINE
Asunto principal:
Pancreatectomía
/
Neoplasias Pancreáticas
/
Cistoadenoma
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
Pt
Revista:
Arq Gastroenterol
Año:
2005
Tipo del documento:
Article