Laparoscopic distal pancreatectomy for pancreatic benign and low-grade malignant tumor

Abstract

Objective To explore the surgical techniques in laparoscopic distal pancreatectomy for benign and low malignant tumors in the body or tail of the pancreas. Methods The clinical data of 21 cases of benign and low-malignant tumors in the body or tail of the pancreas undergoing LDP from Jan 2015 to Mar 2017 in the First Hospital of Shanxi Medical University were analyzed retrospectively. Results One patient was converted to open surgery(4.76%), 13 patients underwent laparoscopic spleen-preserving distal pancreatectomy (Kimura procedure). The other 7 patients underwent LDP with splenectomy.The average size of the tumor was (6.0±3.1)cm; the operation time was 190 to 421 mins with mean time of (288.4±56.9)min; the intraoperative blood loss was 30 to 800 ml with the mean volume of(235.7±202.6)ml; Postoperative hospital stay was 6 to 17 days with the mean time of (8.9±3.1)days. Six patients suffered from type A pancreatic fistula, and were cured by conservative treatment. Conclusions Laparoscopic spleen-preserving pancreatectomy for benign or low-grade malignant body and tail pancreatic tumors is feasible and safe. Key words: Pancreatic neoplasms; Pancreatectomy; Laparoscopes