keyword
https://read.qxmd.com/read/38528262/optimal-cutoff-values-of-drain-amylase-for-predicting-pancreatic-fistula-are-different-between-open-and-laparoscopic-distal-pancreatectomy
#1
JOURNAL ARTICLE
Jun Ishida, Hirochika Toyama, Sadaki Asari, Tadahiro Goto, Yoshihide Nanno, Toshihiko Yoshida, Shinichi So, Takeshi Urade, Kenji Fukushima, Hidetoshi Gon, Daisuke Tsugawa, Shohei Komatsu, Hiroaki Yanagimoto, Masahiro Kido, Takumi Fukumoto
BACKGROUND: Drainage fluid amylase (DFA) is useful for predicting clinically relevant postoperative pancreatic fistula (CR-POPF) after distal pancreatectomy (DP). However, difference in optimal cutoff value of DFA for predicting CR-POPF between open DP (ODP) and laparoscopic DP (LDP) has not been investigated. This study aimed to identify the optimal cutoff values of DFA for predicting CR-POPF after ODP and LDP. METHODS: Data for 294 patients (ODP, n = 127; LDP, n = 167) undergoing DP at Kobe University Hospital between 2010 and 2021 were reviewed...
March 25, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38526860/distal-pancreatectomy
#2
JOURNAL ARTICLE
Martin Vojtko, Kristina Cmarkova, Miroslav Pindura, Blazej Palkoci, Roman Kycina, Lenka Nosakova, Marek Vojtko, Peter Banovcin, Juraj Miklusica
NTRODUCTION: Distal pancreatectomy is a standard surgical procedure for selected benign, premalignant, and malignant lesions localized in the pancreatic body or tail. Surgical resection remains the only curative option for patients diagnosed with adenocarcinoma of the pancreas. PATIENTS AND METHODS: Perioperative and postoperative clinical courses were retrospectively assessed in patients, who underwent distal pancreatectomy during the 2011‒2021 period...
2024: Bratislavské Lekárske Listy
https://read.qxmd.com/read/38520044/incidence-and-outcomes-of-postoperative-fluid-collections-after-minimally-invasive-distal-pancreatectomy-without-placement-of-surgical-drain-a-prospective-observational-cohort-study
#3
JOURNAL ARTICLE
Núria Lluís, Filipe Kunzler, Domenech Asbun, Ramon E Jimenez, Horacio J Asbun
BACKGROUND/PURPOSE: There is uncertainty about the role of prophylactic intra-abdominal drains after distal pancreatectomy. In the present study, we aimed to describe the long-term outcomes of postoperative pancreatic collections in patients who underwent a minimally invasive distal pancreatectomy (MIDP) without surgical drain placement. METHODS: From 2018 to 2022, consecutive patients who underwent a MIDP were recorded. Patients were followed at 90 days, 6 months, and in the long term...
March 22, 2024: Journal of Hepato-biliary-pancreatic Sciences
https://read.qxmd.com/read/38498397/minimally-invasive-robot-assisted-and-laparoscopic-distal-pancreatectomy-in-a-pan-european-registry-a-retrospective-cohort-study
#4
JOURNAL ARTICLE
Eduard A van Bodegraven, Tess M E van Ramshorst, Svein O Bratlie, Arto Kokkola, Ernesto Sparrelid, Bergthor Björnsson, Dyre Kleive, Stefan K Burgdorf, Safi Dokmak, Bas Groot Koerkamp, Santiago Sánchez Cabús, I Quintus Molenaar, Ugo Boggi, Olivier R Busch, Miha Petrič, Geert Roeyen, Thilo Hackert, Daan J Lips, Mathieu D'Hondt, Mariëlle M E Coolsen, Giovanni Ferrari, Bobby Tingstedt, Alejandro Serrablo, Sebastien Gaujoux, Marco Ramera, Igor Khatkov, Fabio Ausania, Regis Souche, Sebastiaan Festen, Frederik Berrevoet, Tobias Keck, Robert P Sutcliffe, Elizabeth Pando, Roeland F de Wilde, Beatrice Aussilhou, Paul S Krohn, Bjørn Edwin, Per Sandström, Stefan Gilg, Hanna Seppänen, Caroline Vilhav, Mohammad Abu Hilal, Marc G Besselink
BACKGROUND: International guidelines recommend monitoring of the use and outcome of minimally invasive pancreatic surgery (MIPS). However, data from prospective international audits on minimally invasive distal pancreatectomy (MIDP) are lacking. This study examined the use and outcome of robot-assisted (RDP) and laparoscopic (LDP) distal pancreatectomy in the E-MIPS registry. MATERIALS AND METHODS: Post-hoc analysis in a prospective audit on MIPS, including consecutive patients undergoing MIDP in 83 centers from 19 European countries (01-01-2019/31-12-2021)...
March 18, 2024: International Journal of Surgery
https://read.qxmd.com/read/38494819/-a-case-of-repeat-pancreatectomy-robotic-spleen-preserving-distal-pancreatectomy-after-robotic-pancreaticoduodenectomy
#5
JOURNAL ARTICLE
Yoshiaki Ohmura, Yutaka Takeda, Yoshiteru Katsura, Go Shinke, Mitsuru Kinoshita, Yukari Kihara, Shu Aoyama, Shinsuke Katsuyama, Ryo Ikeshima, Masayuki Hiraki, Keijiro Sugimura, Toru Masuzawa, Taishi Hata, Kohei Murata
Laparoscopic pancreaticoduodenectomy has been covered by insurance since 2016 in Japan, and advance laparoscopic and robotic pancreaticoduodenectomy has been also covered by insurance since 2020 in Japan. It has been reported that laparoscopic pancreatectomy causes few postoperative adhesions in the abdominal cavity and that repeat laparoscopic surgery could be performed. However, in robotic pancreatectomy, there have been no such reports yet. We reported that even after robotic pancreaticoduodenectomy, there were few adhesions in the abdominal cavity, and we were able to perform the robotic distal pancreatectomy with preservation of the splenic artery and vein...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494818/-a-case-of-lymphoepithelial-cyst-of-the-pancreas-for-which-malignancy-could-not-be-ruled-out-difficult-preoperative-diagnosis
#6
JOURNAL ARTICLE
Yoshiteru Katsura, Koji Hayashi, Satomi Sakai, Sakina Hashizume, Masahiro Koh, Akio Hara, Koki Tamai, Hiroshi Takeyama, Hajime Hirose, Natsumi Tanaka, Shu Okamura, Setsuko Yoshioka, Chikara Ebisui, Hideoki Yokouchi, Masahiko Yano
Lymphoepithelial cyst(LEC)of the pancreas is a relatively rare benign cystic disease of the pancreas. In this report, we describe a case of LEC in which a malignant tumor could not be ruled out by preoperative diagnosis and surgery was performed. The patient was a 72-year-old man. A simple CT scan of the chest and abdomen performed as a follow-up for another disease incidentally revealed a mass in the pancreatic tail. Enhanced CT of the abdomen showed a tumor approximately 3 cm in size at the pancreatic tail with no contrast effect...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38473361/short-term-outcomes-of-conventional-laparoscopic-versus-robot-assisted-distal-pancreatectomy-for-malignancy-evidence-from-us-national-inpatient-sample-2005-2018
#7
JOURNAL ARTICLE
Jyun-Ming Huang, Sheng-Hsien Chen, Te-Hung Chen
BACKGROUND: The primary treatment for pancreatic cancer is surgical resection, and laparoscopic resection offers benefits over open surgery. This study aimed to compare the short-term outcomes of robot-assisted vs. conventional laparoscopic distal pancreatectomy. METHODS: Data of adults ≥ 20 years old with pancreatic cancer who underwent conventional laparoscopic or robot-assisted laparoscopic distal pancreatectomy were extracted from the United States (US) Nationwide Inpatient Sample (NIS) 2005-2018 database...
February 29, 2024: Cancers
https://read.qxmd.com/read/38460085/refractory-postoperative-pancreatic-fistula-following-laparoscopic-distal-pancreatectomy-for-pancreatic-cancer-caused-by-incomplete-pancreas-divisum-a-case-report
#8
JOURNAL ARTICLE
Naotake Funamizu, Mio Uraoka, Yuki Numata, Mitsuhito Koizumi, Kohei Ogawa, Yoshio Ikeda, Yasutsugu Takada
Pancreas divisum (PD) represents a prevalent congenital pancreatic variant, typically arising from the failure of fusion between the ventral and dorsal pancreatic ducts. This condition is frequently associated with recurrent pancreatitis. We herein present a case involving an incomplete PD diagnosis following the identification of a refractory postoperative pancreatic fistula (POPF) after laparoscopic distal pancreatectomy (DP) for pancreatic cancer. A 74-year-old female patient, who had undergone laparoscopic DP for pancreatic cancer, developed a POPF accompanied by intraabdominal bleeding, necessitating urgent intervention radiology to avert life-threatening complications...
March 9, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38448620/outcome-and-survival-were-similar-with-laparoscopic-and-open-pancreatectomy-in-102-solid-pseudopapillary-neoplasms
#9
JOURNAL ARTICLE
Tatiana Codjia, Lancelot Marique, Béatrice Aussilhou, Fadhel Samir Ftériche, Louis de Mestier, Vinciane Rebours, Jérome Cros, Philippe Ruszniewski, Philippe Lévy, Mickael Lesurtel, Alain Sauvanet, Safi Dokmak
BACKGROUND: Solid pseudopapillary neoplasms of the pancreas (SPNP) are rare tumors predominantly in young women. We report the largest single-center cohort study comparing resection of SPNP by laparoscopic approach (LA) and the open approach (OA). METHOD: Between 2001 and 2021, 102 patients (84% women, median age: 30) underwent pancreatectomy for SPNP and were retrospectively studied. Demographic, perioperative, pathological, early and the long-term results were evaluated between patients operated by LA and those by OA...
March 6, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38441441/clinical-application-of-laparoscopic-spleen-preserving-distal-pancreatectomy-in-patients-with-situs-inversus-totalis
#10
JOURNAL ARTICLE
Fengxia Yang, Ying Zhang, Yonggang He, Xiaobing Huang, Huan Feng
No abstract text is available yet for this article.
March 5, 2024: Minerva gastroenterology
https://read.qxmd.com/read/38438677/postoperative-outcomes-and-costs-of-laparoscopic-versus-robotic-distal-pancreatectomy-a-propensity-matched-analysis
#11
JOURNAL ARTICLE
Hester C Timmerhuis, Christopher W Jensen, Rejoice F Ngongoni, Michael Baiocchi, Jonathan C DeLong, Rika Ohkuma, Monica M Dua, Jeffrey A Norton, George A Poultsides, Patrick J Worth, Brendan C Visser
BACKGROUND: Minimally invasive distal pancreatectomy (MIDP) has established advantages over the open approach. The costs associated with robotic DP (RDP) versus laparoscopic DP (LDP) make the robotic approach controversial. We sought to compare outcomes and cost of LDP and RDP using propensity matching analysis at our institution. METHODS: Patients undergoing LDP or RDP between 2000 and 2021 were retrospectively identified. Patients were optimally matched using age, gender, American Society of Anesthesiologists status, body mass index, and tumor size...
March 4, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38400929/laparoscopic-radical-antegrade-modular-pancreatosplenectomy-ramps-for-adenocarcinoma-of-the-body-and-tail-of-the-pancreas-technical-considerations-with-analysis-of-surgical-outcomes
#12
JOURNAL ARTICLE
Maciej Borys, Michał Wysocki, Krystyna Gałązka, Maciej Stanek, Andrzej Budzyński
PURPOSE: The aim of this study was to establish whether laparoscopic RAMPS (L-RAMPS) is a safe procedure with better oncological outcomes compared to laparoscopic distal pancreatectomy (LDP) with splenectomy among patients with distal pancreatic ductal adenocarcinoma (PDAC). METHODS: This is a retrospective study performed on consecutive patients who underwent L-RAMPS and LDP with splenectomy for resectable or borderline resectable PDAC of the body and tail. In this paper, we presented our technique of laparoscopic RAMPS and analyzed intraoperative and perioperative complications, oncological efficacy, and long-term survival...
February 24, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38373949/a-multi-institutional-randomized-phase-iii-study-comparing-minimally-invasive-distal-pancreatectomy-versus-open-distal-pancreatectomy-for-pancreatic-cancer-japan-clinical-oncology-group-study-jcog2202-lapan-study
#13
JOURNAL ARTICLE
Naoki Ikenaga, Tadayoshi Hashimoto, Junki Mizusawa, Ryo Kitabayashi, Yusuke Sano, Haruhiko Fukuda, Kohei Nakata, Kazuto Shibuya, Yuji Kitahata, Minoru Takada, Keiko Kamei, Hiroshi Kurahara, Daisuke Ban, Shogo Kobayashi, Hiroaki Nagano, Hajime Imamura, Michiaki Unno, Amane Takahashi, Shintaro Yagi, Hiroshi Wada, Hirofumi Shirakawa, Naoto Yamamoto, Seiko Hirono, Naoto Gotohda, Etsuro Hatano, Masafumi Nakamura, Makoto Ueno
BACKGROUND: Minimally invasive distal pancreatectomy (MIDP), including laparoscopic and robotic distal pancreatectomy, has gained widespread acceptance over the last decade owing to its favorable short-term outcomes. However, evidence regarding its oncologic safety is insufficient. In March 2023, a randomized phase III study was launched in Japan to confirm the non-inferiority of overall survival in patients with resectable pancreatic cancer undergoing MIDP compared with that of patients undergoing open distal pancreatectomy (ODP)...
February 19, 2024: BMC Cancer
https://read.qxmd.com/read/38351522/effect-of-laparoscopic-and-open-distal-pancreatectomy-on-postoperative-wound-complications-in-patients-with-pancreatic-cancer-a-meta-analysis
#14
JOURNAL ARTICLE
Chen Hong, Wei Liu
At present, it is regarded as a safe and efficient operation to treat terminal pancreatic disease. In this paper, we present a summary of the results of the clinical trials that have been conducted to evaluate the efficacy of laparoscopic and open-access pancreatic resection for pancreatic carcinoma of the end of the pancreas. Systematic review of the comparison between laparoscopy and open-access pancreatic resection was conducted. Comparative studies published before October 2023 were included. The selection of the studies was done according to a particular classification and exclusion criterion...
February 2024: International Wound Journal
https://read.qxmd.com/read/38348977/splenectomy-and-tumor-size-are-risk-factors-for-serious-perioperative-morbidity-of-laparoscopic-distal-pancreatectomies
#15
JOURNAL ARTICLE
Michal Wysocki, Maciej Borys, Krystyna Gałązka, Maciej Stranek, Andrzej Budzyński
<b><br>Introduction:</b> The determinants influencing the risk for complications of laparoscopic distal pancreatectomies (LDP) are not yet fully defined, thus we aimed to determine risk factors for serious perioperative morbidity after LDP with spleen preservation, LDP and radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas (RAMPS).</br> <b><br>Material and methods:</b> Retrospective cohort study of consecutive patients that underwent LDP between January 2019 and December 2022...
October 12, 2023: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38322212/international-consensus-guidelines-on-robotic-pancreatic-surgery-in-2023
#16
REVIEW
Rong Liu, Mohammed Abu Hilal, Marc G Besselink, Thilo Hackert, Chinnusamy Palanivelu, Yupei Zhao, Jin He, Ugo Boggi, Jin-Young Jang, Fabrizio Panaro, Brian K P Goh, Mikhail Efanov, Yuichi Nagakawa, Hong-Jin Kim, Xiaoyu Yin, Zhiming Zhao, Yi-Ming Shyr, Shridhar Iyer, Eli Kakiashvili, Ho-Seong Han, Jae Hoon Lee, Roland Croner, Shin-E Wang, Marco Vito Marino, Arun Prasad, Wei Wang, Songqing He, Kehu Yang, Qu Liu, Zizheng Wang, Mengyang Li, Shuai Xu, Kongyuan Wei, Zhaoda Deng, Yuze Jia, Tess M E van Ramshorst
BACKGROUND: With the rapid development of robotic surgery, especially for the abdominal surgery, robotic pancreatic surgery (RPS) has been applied increasingly around the world. However, evidence-based guidelines regarding its application, safety, and efficacy are still lacking. To harvest robust evidence and comprehensive clinical practice, this study aims to develop international guidelines on the use of RPS. METHODS: World Health Organization (WHO) Handbook for Guideline Development, GRADE Grid method, Delphi vote, and the AGREE-II instrument were used to establish the Guideline Steering Group, Guideline Development Group, and Guideline Secretary Group, formulate 19 clinical questions, develop the recommendations, and draft the guidelines...
February 1, 2024: Hepatobiliary Surgery and Nutrition
https://read.qxmd.com/read/38303333/-a-case-of-early-pancreatic-cancer-diagnosed-from-the-finding-of-partial-pancreatic-parenchymal-atrophy
#17
JOURNAL ARTICLE
Xiaolin Yu, Satoshi Matsukuma, Manabu Senyo, Tetsuya Sato, Ryosuke Nawata, Sota Yoshimine, Kazuhisa Tokunou, Toru Kawaoka, Yuji Fujita, Norio Akiyama, Yuiciro Yokoyama, Yoshimi Yamashita, Shigeru Yamamoto
A man in his 80s was referred to our hospital for further examination of partial pancreatic atrophy that was detected incidentally. Various imaging examinations including CT, MRI, and EUS did not reveal any obvious abnormal findings other than the partial pancreatic atrophy. However, cytological examination of serial pancreatic juice aspiration showed atypical cells. The presence of pancreatic intraepithelial carcinoma in the atrophy site was considered, and the patient underwent laparoscopic distal pancreatectomy...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303300/-a-case-of-preoperative-chemotherapy-for-advanced-gastric-cancer-laparoscopic-total-gastrectomy-pancreaticoduodenectomy-and-para-aortic-lymph-node-dissection
#18
JOURNAL ARTICLE
Kenta Fukuda, Kazuki Odagiri, Yoshitomo Yanagimoto, Masafumi Yamashita, Hiroshi Takeyama, Yozo Suzuki, Masakazu Ikenaga, Tomono Kawase, Junzo Shimizu, Hiroshi Imamura, Keizo Dono
Bulky N+ gastric cancer has a poor prognosis. The results of JCOG0405 showed the efficacy of neoadjuvant chemotherapy with S-1 plus cisplatin combination therapy for Bulky N+ gastric cancer. JLSSG0901 demonstrated the safety and efficacy of laparoscopic surgery for advanced gastric cancer. But the safety of laparoscopic surgery for locally advanced and extensive nodal metastasis cancer(T4b, para-aortic lymph node metastasis)is not apparent. After DOS therapy, we performed total laparoscopic gastrectomy, DP(distal pancreatectomy), D2+ #16a2/b1 lat, and Roux-en-Y reconstruction, and histopathological results showed that the aortic lymph node metastasis disappeared...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303288/-an-intraductal-papillary-mucinous-neoplasm-of-the-pancreas-with-metachronous-quadruple-cancers
#19
JOURNAL ARTICLE
Akihiko Ueda, Yoichi Matsuo, Seiya Yamamoto, Natsuki Kusudo, Tsuyoshi Ito, Hiromichi Murase, Tomokatsu Kato, Hiroyuki Imafuji, Kenta Saito, Mamoru Morimoto, Ryo Ogawa, Hiroki Takahashi, Akira Mitsui, Masahiro Kimura, Shuji Takiguch
The patient described herein was diagnosed with left breast, endometrial, and early gastric cancers at 49, 53, and 57 years of age, respectively. Magnetic resonance cholangiopancreatography performed when she was undergoing treatment for cholecystitis at 50 years of age showed local pancreatic duct dilatation in the pancreatic head. She was followed in the Department of Gastroenterology at our hospital for an intraductal papillary mucinous neoplasm(IPMN). An abdominal computed tomography scan obtained at 59 years of age revealed dilation of the main pancreatic duct in the pancreas body and tail, therefore an endoscopic ultrasound-guided fine needle aspiration was performed...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303180/-surgical-outcomes-and-clinicopathological-analysis-of-laparoscopic-distal-pancreatectomy
#20
JOURNAL ARTICLE
Eri Nakadai, Shinji Yanagisawa, Masaaki Kataoka, Masaki Nishimura, Souichi Kobayashi, Akira Okaniwa, Ryuichirou Suda, Sachie Ohno, Ryotarou Teranaka, Hirotoshi Shindo, Tomoya Hirokawa, Shota Hioki, Hidetoshi Ando, Hisashi Kondo, Takashi Kaiho
SUBJECTS: We first reviewed surgical outcomes and pathological findings of 32 patients(laparoscopic group: LDP n=11, open group: ODP n=21)who underwent distal pancreatectomy for pancreatic cancer from January 2018 to October 2022. Then we reviewed long-term outcomes, and recurrence type for 20 patients(LDP: n=5, ODP: n=15)from January 2018 to February 2021. RESULTS: LDP group had significantly longer operation time and less blood loss. There was no difference in length of hospital stay, postoperative complications, number of dissected lymph nodes, positive lymph node metastasis rate, and adjuvant chemotherapy rate...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
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