Objective: Low potential malignant diseases are more frequently discovered and laparoscopic central pancreatectomy (LCP) can be indicated. LCP usually preserving splenic vessels (LCP-PreSV), allows a low-risk of diabetes at the expense high morbidity represented mainly by postoperative pancreatic fistula (POPF) haemorrhage (PPH). We evaluated impact resection (LCP-ResSV) on short long-term comp...

BACKGROUND This article reviews the current status of robot-assisted laparoscopic pancreaticoduodenectomy and distal pancreatectomy. METHOD Searches of MEDLINE and PubMed databases were conducted using the keywords "laparoscopic pancreatectomy," "robotic surgery," "pancreaticoduodenectomy" and "distal pancreatectomy" to find articles published between January 1990 and September 2012. Addition...

Tumor related pancreatic surgery has progressed significantly during recent years. Pancreatoduodenectomy (PD) with lymphadenectomy, including vascular resection, still presents the optimal surgical procedure for carcinomas in the head of pancreas. For patients with small or low-grade malignant neoplasms, as well as small pancreatic metastases located in the mid-portion of pancreas, central panc...

BACKGROUND Surgical treatment of intraductal papillary mucinous neoplasms (IPMN) requires a differentiated approach regarding indications and extent of resection. METHODS The review summarizes the current literature on indication, timing, and surgical procedures in IPMN. RESULTS The most important differentiation has to be made between main-duct and branch-duct IPMN as well as mixed-type le...

BACKGROUND/AIMS This study hopes to identify risk factors for postoperative pancreatic fistulae in patients undergoing distal pancreatectomy. METHODS The study group was composed of 39 patients who had undergone distal pancreatectomy between January 2000 and June 2008. Fourteen presumed risk factors were retrospectively reviewed. RESULTS Pancreatic fistula developed in 10 patients (25.6%). ...

Laparoscopic pancreatectomy has evolved from resection of benign lesions to the treatment of malignant lesions without compromising patient safety and oncologic principles. Driven by the technical shortcomings of laparoscopic surgery, robotic pancreatectomy is the latest development in this evolution. Presently, there are limited but increasing amount of data comparing the outcomes of the vario...

Distal pancreatectomy with en-bloc splenectomy has been considered the standard technique for management of benign and malignant pancreatic disorders. However, splenic preservation has recently been advocated. The aim of this study was to review the experiences of distal pancreatectomy using the open or the laparoscopic approach and to critically discuss the need to perform splenectomy. Origina...