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HPB (Oxford). 2011 May;13(5):361-3. doi: 10.1111/j.1477-2574.2011.00297.x. Epub 2011 Mar 22.

Laparoscopic three-port distal pancreatectomy.

Author information

1
Department of Surgery, Providence Hospital and Medical Centers, Southfield, MI 48075, USA.

Abstract

AIMS:

Laparoscopic distal pancreatectomy is becoming a more commonly used procedure, which may involve the use of four to seven ports, depending on the technique. Initial data on feasibility, safety and outcome with the three-port laparoscopic distal pancreatectomy are presented.

METHODS:

The patient is placed in a partial thoracoabdominal position exposing the left flank in a reverse Trendelenberg position. A 10-mm Hassan trocar is inserted through a subcostal anterior axillary incision. A 5-mm midclavicular and 10-mm posterior axillary line trocar are placed. The specimen is retrieved from the anterior axillary line port.

RESULTS:

Ten women and seven men, aged 26-88 years (mean 61 years), were evaluated. Their body mass indexes ranged from 18-37 (mean 27). Pancreatic lesion size ranged from 1.0-5.5 cm (mean 3.0 cm). Operative time was 116-296 min (mean 170 min). Blood loss was 10-300 ml (mean 142 ml). No operation required conversion or additional trocar placement. Post-operative stay was 2-7 days (mean 4 days). No patient developed a pancreatic fistula.

CONCLUSION:

Operative time, blood loss and post-operative stay of this three-port technique compare favourably with published data.

PMID:
21492337
PMCID:
PMC3093649
DOI:
10.1111/j.1477-2574.2011.00297.x
[Indexed for MEDLINE]
Free PMC Article

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