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Technique of Pancreatic Resection

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Endocrine Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Laparoscopic pancreatic resection was first introduced in 1994 by Gagner and Pomp [1] and Cushieri [2]. Using the criteria of Cushieri and Jakimowicz [3], the probable benefit of minimally invasive surgery over conventional open surgery depends on the ratio of access to procedural trauma. In pancreatoduodenectomy, the access trauma forms only a small component of the total operative insult to the patient.

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References

  1. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8:408–10.

    Article  PubMed  CAS  Google Scholar 

  2. Cushieri A. Laparoscopic surgery of the pancreas. JR Coll Surg Edimb. 1994;39:187–94.

    Google Scholar 

  3. Cuschieri A, Jakimowicz J. Laparoscopic pancreatic resections. Semin Laparosc Surg. 1998;5:168–79.

    PubMed  CAS  Google Scholar 

  4. Fabre JM, Dulucq JL, Vacher C, Lemoine MC, Wintringer P, Nocca D. Is laparoscopic left pancreatic resection justified? Surg Endosc. 2002;19:507–10.

    Google Scholar 

  5. Patterson EJ, Gagner M, Salky B, Inabnet, WB, Brower S, Edye M, Gurland B, Reiner M, Pertsemlides D. Laparoscopic pancreatic resection: single-institution experience with 19 patients. J Am Coll surg. 2001;193:281–7.

    Google Scholar 

  6. Shimizu S, Tanaka M, Mizumoto K, Yamaguchi K. Laparoscopic pancreatic surgery: current indications and surgical results. Surg Endosc. 2004;18:402–6.

    Article  PubMed  CAS  Google Scholar 

  7. Fernández-Cruz L, Sáenz A, Astudillo E, et al. Outcome of laparoscopic pancreatic surgery: endocrine and nonendocrine tumors. World J Surg. 2002;26:1057–65.

    Article  PubMed  Google Scholar 

  8. Edwin B, Mala T, Mathisen O, Gladhayg I, Buanes T, lunde OC, Soreide O, Bergan A, Fosse E. Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome. Surg Endosc. 2004;18:407–11.

    Article  PubMed  CAS  Google Scholar 

  9. Velanovich V. Case-control comparison of laparoscopic versus open distal pancreatectomy. J Gastrointest Surg. 2006; 10:95–8.

    Article  PubMed  Google Scholar 

  10. Park AE, Heniford BT. Therapeutic laparoscopy of the pancreas. Ann Surg. 2002;236:149–58.

    Article  PubMed  Google Scholar 

  11. Berends FJ, Cuesta MA, Kazemier G, et al. Laparoscopic detection and resection of insulinomas. Surgery. 2000;128:386–90.

    Article  PubMed  CAS  Google Scholar 

  12. Gramatica L, Herrera MF, Mercado-Luna A, et al. Videolaparoscopic resection of insulinomas. World J Surg. 2002;26:1297–300.

    Article  PubMed  Google Scholar 

  13. Ihiara M, Obara T. Minimaly invasive endocrine surgery: laparoscopic resection of insulinomas. Biomed Pharmacother. 2002;56:227–30.

    Article  Google Scholar 

  14. Ayav A, Bresler L, Brunand L, Boissel P, et al. Laparoscopic approach for insulinoma: a multicenter study. Langenbecks Arch Surg. 2005;390:134–40.

    Article  PubMed  CAS  Google Scholar 

  15. Fernández-Cruz L, Martinez I, Cesar-Borges G, et al. Laparoscopic surgery in patients with sporadic and multiple insulinomas associated with multiple endocrine neoplasia type 1. J Gastrointest Surg. 2005;9:381–8.

    Article  PubMed  Google Scholar 

  16. Assalia A, Gagner M. Laparoscopic pancreatic surgery for islet cell tumors of the pancreas. World J Surg. 2004;28:1239–47.

    Article  PubMed  Google Scholar 

  17. Sa Cunha A, Beau C, Rault A, Catargi B, Collet D, Masson B. Laparoscopic versus open approach for solitary insulinoma. Surg Endos. 2007;21:103–8

    Article  Google Scholar 

  18. Mabrut JY, Fernández-Cruz L, Azagra JS, Bassi C, Delvaux G, Weerts J, Fabre JM, Boulez, J, Baulieux, J, Peix, JL, Gigot JF. Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery. 2005;137:597–605.

    Article  PubMed  Google Scholar 

  19. Fernández-Cruz L, Martinez I, Gilabert R, Cesar-Borges G, Astudillo E, Navarro S. Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreas. J Gastrointest Surg. 2004;8:493–501.

    Article  PubMed  Google Scholar 

  20. Fernández-Cruz L. Distal pancreatic resection: technical differences between open and laparoscopic approaches. HPB. 2006;8:49–56.

    Article  PubMed  Google Scholar 

  21. Fernández-Cruz L, Cosa R, Blanco L, Levi S, López-Boado MA, Navarro S. Curative laparoscopic resection for pancreatic neoplasms. A critical analysis from a single institution. J Gastrointest Surg. 2007;11:1607–22

    Article  PubMed  Google Scholar 

  22. Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133:521–7.

    Article  PubMed  Google Scholar 

  23. Gagner M, Pomp A, Herrera MF. Early experience with laparoscopic resection of islet cell tumors. Surgery. 1996;120:1051–4.

    Article  PubMed  CAS  Google Scholar 

  24. Fernández-Cruz L, Blanco L, Cosa R, Rendón H. Is laparoscopic resection adequate in patients with neuroendocrine pancreatic tumors? World J Surg. 2008;32:904–17.

    Article  PubMed  Google Scholar 

  25. Bartsch DK, Schilling T, Ramaswamy A, et al. Management of nonfunctioning islet cell carcinomas. World J Surg. 2000;24, 1418–24.

    Article  PubMed  CAS  Google Scholar 

  26. Kouvaraki MA, Solorzano CC, Saphiro SE, et al. Surgical treatment of non-functioning pancreatic islet cell tumors. J Surg Oncol. 2005;89:170–85.

    Article  PubMed  Google Scholar 

  27. Kazanjiam KK, Reber HA, Hines OJ. Resection of pancreatic neuroendocrine tumors. Arch Surg. 2006;141:765–70.

    Article  Google Scholar 

  28. Salorzano CC, Lee JE, Pisters PW et al. Nonfunctioning islet cell carcinoma of the pancreas: survival results in a contemporary series of 163 patients. Surgery. 2001;130:1078–85.

    Article  Google Scholar 

  29. Phan GQ, Yeo CJ, Hruban RH, Lillemoe KD, Pitt HA, Cameron JL. Surgical experience with pancreatic and peripancreatic neuroendocrine tumors: review of 125 patients. J. Gastrointes Surg. 1998;2(5):472–82.

    CAS  Google Scholar 

  30. House MG, Cameron JL, Lillemoe KD, et al. Differences in survival for patients with resectable versus unresectable metastases from pancreatic islet cell cancer. J Gastrointest Surg. 2006;10:138–45.

    Article  PubMed  Google Scholar 

  31. Schurr PG, Strate T, Rese K, et al. Aggressive surgery improves long-term survival in neuroendocrine pancreatic tumors. An institutional experience. Ann Surg. 2007;245:273–81.

    Article  PubMed  Google Scholar 

  32. Fendrich V, Langer P, Celiki I, et al. An aggressive surgical approach leads to long-term survival in patients with pancreatic endocrine tumors. Ann Surg. 2006;244:845–53.

    Article  PubMed  Google Scholar 

  33. Dralle H, Krohn SL, Karges W, et al. Surgery of resectable non-functioning neuroendocrine pancreatic tumors. World J Surg. 2004;28:1248–60.

    Article  PubMed  Google Scholar 

  34. Chung JC, Choi DW, Jo SH, Heo JS, Choi SH, Kim Y. Malignant non-functioning endocrine tumors of the pancreas: predictive factors for survival after surgical treatment. World J Surg. 2007;31:579–85.

    Article  PubMed  Google Scholar 

  35. Norton JA, Jensen RT. Resolved and unresolved controversies in the surgical management of patients with Zollinger-Ellison syndrome. Ann Surg. 2004;240:757–73.

    Article  PubMed  Google Scholar 

  36. Norton JA, Alexander HR, Fraker DL, et al. Possibly primary lymph node gastrinomas: occurrence, natural history and predictive factors; a prospective study. Ann Surg. 2003;237:650–9.

    PubMed  Google Scholar 

  37. Smith SL, Branton SA, Avino AJ, et al. Vasoactive intestinal polypeptide secreting islet cell tumors; a 15-year experience and review of the literature. Surgery. 1998; 124:1050–5.

    Article  PubMed  CAS  Google Scholar 

  38. Olausson M, Friman S, Herlenius G, Cahlin C, Nilsson O, et al. Orthotopic liver or multivisceral transplantation as treatment of metastatic neuroendocrine tumors. Liver Transpl. 2007;13:327–33.

    Article  PubMed  Google Scholar 

  39. Florman S, Toure B, Kim L, Gondolesi G, et al. Liver transplantation for neuroendocrine tumor. J Gastrointest Surg. 2004;8:208–12.

    Article  PubMed  Google Scholar 

  40. Wermers RA, Fatonrechi V, Wynne AG, et al. The glucagonoma syndrome. Clinical and pathological features in 21 patients. Medicine. 1996;75(2):53–63.

    Article  PubMed  CAS  Google Scholar 

  41. Weinel RJ, Neuhaus C, Stapp J, et al. Preoperative localization of gastrointestinal endocrine tumors using somatostatin-receptor scintigraphy. Ann Surg. 1993;218:640–45.

    Article  PubMed  CAS  Google Scholar 

  42. Kirshbom PM, Kherai AR, Onaitis MW, et al. Foregut carcinoids: a clinical and biochemical analysis. Surgery. 1999;126:1105–10.

    Article  PubMed  CAS  Google Scholar 

  43. Maurer CA, Baer H-U, Dyong TH, et al. Carcinoid of the pancreas: clinical characteristics and morphological features. European J. Cancer. 1996; 32A:1109–16.

    Article  CAS  Google Scholar 

  44. Norton JA. Surgical management of carcinoid tumors: role of debulking and surgery for patients with advanced disease. Digestion. 1994;55(suppl3):98–103.

    Article  PubMed  Google Scholar 

  45. Demeure M, Klonoff D, Karam J, Duh Q, Clark O. Insulinomas associated with multiple endocrine neoplasia type 1: the needs for a different surgical approach.

    Google Scholar 

  46. O’ Riordan D, O’ Brien M, van Heerden JA, Service FJ, Grant CS. Surgical management of insulinomas associated with múltiple endocrine neoplasia type I. World J Surg. 1994;18:488–94.

    Article  Google Scholar 

  47. Thompson NW. Management of pancreatic endocrine tumors in patients with multiple endocrine neoplasia type 1. Surg Oncol Clin N Am. 1998;7:881–91.

    PubMed  CAS  Google Scholar 

  48. Doherty GM, Thompson NW. Multiple endocrine neoplasia type 1: duodenopancreatic tumors. J Intern Med. 2003;253:590–8.

    Article  PubMed  CAS  Google Scholar 

  49. Skogseid B, Eviksson B, Lundquist G, et al. Multiple endocrine neoplasia type 1: a 10-year prospective screening study in four kindreds. J Clin Endocrinol Metab. 1991;73:281–9.

    Article  PubMed  CAS  Google Scholar 

  50. Äkerstrom G, Hessman O, Skogreid B. Timing and extent of surgery in symptomatic and asymptomatic neuroendocrine tumors of the pancreas in MEN-1. Langenbek’s Arch Surg.2002;386:558–69.

    Article  Google Scholar 

  51. Bartsch DK, Fendrich V, Langer P, et al. Outcome of duodenopancreatic resections in patients with multiple endocrine neoplasia type-1. Ann Surg. 2005;242:757–66.

    Article  PubMed  Google Scholar 

  52. Äkerstrom G, Hellman P, Skogseid B. Pancreatic tumors as part of the MEN-1 syndrome. Best Pract Res Clin Gastroenterol. 2005;19(5):819–30.

    Article  PubMed  Google Scholar 

  53. Cadiot G, Vuagnat A, Doukhan, I, et al. Prognostic factors in patients with Zollinger-Ellison syndrome and multiple endocrine neoplasia type 1. Gastroenterology. 1999;116:286–93.

    Article  PubMed  CAS  Google Scholar 

  54. Zogakis TG, Gibril F, Libutti SK, et al. Management and outcome of patients with sporadic gastrinoma arising in the duodenum. Ann Surg. 2003;238:42–8.

    PubMed  Google Scholar 

  55. Libutti SK, Alexander HR Jr. Gastrinoma: sporadic and familial disease. Surg Oncol Clin N Am. 2006;15.479–6.

    Article  PubMed  Google Scholar 

  56. Jensen RT. Management of the Zollinger-Ellison syndrome in patients with multiple endocrine neoplasia type 1. J Intern Med. 1998;243:477–88.

    Article  PubMed  CAS  Google Scholar 

  57. Fernández-Cruz L, César-Borges G. Laparoscopic strategies for resection of insulinoma. J Gastrointest Surg. 2006;10:752–60.

    Article  PubMed  Google Scholar 

  58. Toniato A, Meduri F, Foletts M, et al. Laparoscopic treatment of benign insulinomas localized in the body and tail of the pancreas. World J Surg. 2006;30:1916–9.

    Article  PubMed  Google Scholar 

  59. Jaroszewski D, Schlinkert RT, Thompson GB, Schlinker DK. Laparoscopic localization and resection of insulinomas. Arch Surg. 2004;139:270–4.

    Article  PubMed  Google Scholar 

  60. Sa Cunha A, Beau C, Rault A, Catargi B, Collet D, Masson B. Laparoscopic versus open approach for solitary insulinoma. Surg Endos. 2007;21:103–8.

    Article  Google Scholar 

  61. Grant CS. Insulinoma. Surg Oncol Clin North Am. 1998;7:819–44.

    CAS  Google Scholar 

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Fernández-Cruz, L. (2009). Technique of Pancreatic Resection. In: Hubbard, J., Inabnet, W., Lo, CY. (eds) Endocrine Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84628-881-4_42

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  • DOI: https://doi.org/10.1007/978-1-84628-881-4_42

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