[Analysis of the Spanish National Registry of Laparoscopic Pancreatic Surgery]. / Análisis del Registro Nacional Español de la Cirugía Laparoscópica del Páncreas.

INTRODUCTION: The reported experience with laparoscopic pancreatic surgery remains limited to case reports or small series of patients. A recent European multicenter study has allowed the limits and results of this technique to be known. This article presents an analysis of the results of the Spanish National Registry of Laparoscopic Pancreatic Surgery. MATERIAL AND METHODS: A total of 132 patients with lesions in the left pancreas were included in this series. The final diagnosis included 42 neuroendocrine tumors, 40 cystic neoplasms, 24 cysts and pseudocysts, 8 inflammatory tumors, 8 ductal carcinomas, 7 intraductal papillary mucinous tumors, 1 acinar carcinoma and 2 solid pseudopapillary tumors. RESULTS: The conversion rate was 9.7%. Tumor enucleation was performed only in patients with insulinomas. The most frequent technique was spleen-preserving distal pancreatectomy. There were no postoperative deaths. The overall rate of postoperative pancreatic-related complications was 16%. CONCLUSIONS: Although only a few Spanish hospitals participated in the registry, a greater number of hospitals are expected to enroll patients in the very near future.

Análisis del Registro Nacional Español de la Cirugía Laparoscópica del Páncreas / Analysis of the Spanish National Registry of Laparoscopic Pancreatic Surgery

Introducción. En el pasado, la experiencia de la cirugía laparoscópica del páncreas se mantenía limitada a experiencias individuales con un reducido núcleo de pacientes. El reciente estudio multicéntrico europeo ha permitido conocer los límites y los resultados de la técnica. En este trabajo se presenta el análisis de los resultados del Registro Nacional Español de la Cirugía Laparoscópica del Páncreas (RNEP). Material y métodos. Se ha incluido a 132 pacientes con lesiones localizadas en el páncreas izquierdo: 42 tumores neuroendocrinos, 40 neoplasias quísticas, 24 quistes y seudoquistes, 8 tumores inflamatorios, 8 carcinomas ductales, 7 neoplasias papilares mucinosa, 1 carcinoma acinar, 2 tumores sólidos seudopapilares. Resultados. El índice de conversión fue del 9,7%. La técnica de enucleación se realizó tan sólo en pacientes portadores de un insulinoma. La pancreatectomía distal con preservación esplénica fue la utilizada con más frecuencia. La mortalidad fue nula y, como morbilidad, la fístula pancreática apareció en el 16% de los casos. Conclusiones. A pesar de que el número de hospitales españoles es limitado, los resultados obtenidos hacen esperar una mayor experiencia en un futuro próximo (AU)

Introduction. The reported experience with laparoscopic pancreatic surgery remains limited to case reports or small series of patients. A recent European multicenter study has allowed the limits and results of this technique to be known. This article presents an analysis of the results of the Spanish National Registry of Laparoscopic Pancreatic Surgery. ¡ Material and methods. A total of 132 patients with lesions in the left pancreas were included in this series. The final diagnosis included 42 neuroendocrine tumors, 40 cystic neoplasms, 24 cysts and pseudocysts, 8 inflammatory tumors, 8 ductal carcinomas, 7 intraductal papillary mucinous tumors, 1 acinar carcinoma and 2 solid pseudopapillary tumors. Results. The conversion rate was 9.7%. Tumor enucleation was performed only in patients with insulinomas. The most frequent technique was spleen-preserving distal pancreatectomy. There were no postoperative deaths. The overall rate of postoperative pancreatic-related complications was 16%. Conclusions. Although only a few Spanish hospitals participated in the registry, a greater number of hospitals are expected to enroll patients in the very near future (AU)