Laparoscopic total pancreatectomy: experiences and potential indications
- VernacularTitle: Дурангийн мэс заслаар нойр булчирхай бүтэн тайрах:Туршлага ба хагалгааны заалт
- Author:
Chang Moo Kang
- Publication Type:journal article
- From:Innovation
2014;8(4):146-147
- CountryMongolia
- Language:English
-
Abstract:
Organ-preserving and minimally invasive surgery should be considered in treating benign and borderline pancreaticlesions. However, total pancreatectomy is recommended for several pancreatic pathologies involving the entirepancreas. With the development of laparoscopic experiences and technique, laparoscopic pylorus-preservingpancreaticoduodenectomy (PPPD) and subtotal (extended) distal pancreatectomy are regarded as safe surgicalprocedure. Therefore, laparoscopic total pancreatectomy can be composed of two different surgical processes;(1) laparoscopic PPPD, and (2) subtotal (extended) distal pancreatectomy. Especially, subtotal (extended) distalpancreatectomy can be done by combined splenectomy or by excision or conserving both splenic vessels. Whentotal pancreatectomy cannot be avoided in clinical situation, laparoscopic total pancreatectomy is feasible, safe, andcan be a potential option. Techniques and potential indications will be discussed in this presentation.
