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Cir Esp. 2013 Jan;91(1):25-30. doi: 10.1016/j.ciresp.2012.05.011. Epub 2012 Dec 4.

[Results of the laparoscopic approach in left-sided pancreatectomy].

[Article in Spanish]

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Unidad de Cirugía Hepato-Bilio-Pancreática, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, España.



Laparoscopic left-sided pancreatectomy (LLP) is an accepted technique for the treatment of benign and pre-malignant lesions of the left side of the pancreas, but there is still controversy on its use for malignant ones.


To evaluate our results in LLP as a routine technique for primary lesions of the left pancreas.


We performed LLP in 15 patients for primary lesions of the pancreas from November 2007 to November 2011. An intra-abdominal drainage was left in all cases, and the recommendations of the International Study Group for Pancreatic Fistula were followed.


The mean age of the patients was 64±13 years. Six radical spleno-pancreatectomies, 3 corporo-caudal with preservation of the spleen, and 6 pure distal (4 with preservation of the spleen). There was one conversion. The mean surgical time was 230±69 minutes. The mean post-operative stay was 8.1±7.6 days. At 90 days, complications were detected in 4 patients; 3 grade II and one grade V according to the modified classification of Clavien. There was one grade B pancreatic fistula. The diagnosis was a malignant neoplasm in 53% of cases. The number of resected lymph nodes in the cases where a radical resection was planned due to cancer was 21.7±11.5, there being negative margins in all cases.


LLP may be considered as a suitable technique for the treatment of primary pancreatic lesions, including malignant ones, provided that it is performed by groups with experience in pancreatic surgery and highly trained in laparoscopic surgery.

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