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Pancreas cancer surgery laparoscopy

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https://www.readbyqxmd.com/read/27756027/hand-assisted-laparoscopic-spleen-preserving-distal-pancreatectomy-combined-with-laparoscopic-distal-gastrectomy-for-the-treatment-of-pancreatic-neuroendocrine-tumor-with-early-gastric-cancer-report-of-a-case
#1
Hiroki Sugita, Hideyuki Kuroki, Takahiko Akiyama, Nobuya Daitoku, Rumi Tashima, Hiroshi Tanaka, Shinobu Honda, Masahiko Hirota
INTRODUCTION: In a distal pancreatectomy combined with a distal gastrectomy, the splenic artery and vein must be conserved. However, it is not easy in pure laparoscopic surgery. We performed a hand-assisted laparoscopic spleen-preserving distal pancreatectomy (HALS-SPDP) combined with a laparoscopic distal gastrectomy (LDG) for the treatment of a pancreatic neuroendocrine tumor (NET) with early gastric cancer. PRESENTATION OF CASE: A 67-year-old male was hospitalized with no complaint...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27124014/successful-experience-of-laparoscopic-pancreaticoduodenectomy-and-digestive-tract-reconstruction-with-minimized-complications-rate-by-14-case-reports
#2
Yong Fan, Yanhui Zhao, Lan Pang, Yingxing Kang, Boxiong Kang, Yongyong Liu, Jie Fu, Bowei Xia, Chen Wang, Youcheng Zhang
Laparoscopic pancreatic surgery is one of the most sophisticated and advanced applications of laparoscopy in the current surgical practice. The adoption of laparoscopic pancreaticoduodenectomy (LPD) has been relatively slow due to the technical challenges. The aim of this study is to review and characterize our successful LPD experiences in patients with distal bile duct carcinoma, periampullary adenocarcinoma, pancreas head cancer, and duodenal cancer and evaluate the clinical outcomes of LPD for its potential in oncologic surgery applications...
April 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27005289/short-term-outcomes-of-laparoscopic-d2-lymphadenectomy-with-complete-mesogastrium-excision-for-advanced-gastric-cancer
#3
Daxing Xie, Chaoran Yu, Liang Liu, Hasan Osaiweran, Chun Gao, Junbo Hu, Jianping Gong
BACKGROUND: D2 lymphadenectomy has been widely accepted as a standard procedure of surgical treatment for local advanced gastric cancer [1, 2]. However, neither the dissection boundary nor the extent of the excision for perigastric soft tissues has been described [3-7]. Our previous researches demonstrate the existence of disseminated cancer cells in the mesogastrium [8, 9] and present an understandable mesogastrium model for gastrectomy [10]. Hence, the D2 lymphadenectomy plus complete mesogastrium excision (D2 + CME) is firstly proposed in this study, aiming to assess the safety, feasibility and corresponding short-term surgical outcomes...
November 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26919100/targeting-the-insulin-growth-factor-1-receptor-with-fluorescent-antibodies-enables-high-resolution-imaging-of-human-pancreatic-cancer-in-orthotopic-mouse-models
#4
Jeong Youp Park, Jin Young Lee, Yong Zhang, Robert M Hoffman, Michael Bouvet
The goal of the present study was to determine whether insulin-like growth factor-1 receptor (IGF-1R) antibodies, conjugated with bright fluorophores, could enable visualization of pancreatic cancer in orthotopic nude mouse models. IGF-1R antibody (clone 24-31) was conjugated with 550 nm or 650 nm fluorophores. Western blotting confirmed the expression of IGF-1R in Panc-1, BxPC3, and MIAPaCa-2 human pancreatic cancer cell lines. Labeling with fluorophore-conjugated IGF-1R antibody demonstrated fluorescent foci on the membrane of the pancreatic cancer cells...
April 5, 2016: Oncotarget
https://www.readbyqxmd.com/read/26542081/proximal-segmentation-of-the-dorsal-mesogastrium-reveals-new-anatomical-implications-for-laparoscopic-surgery
#5
Daxing Xie, Chun Gao, An Lu, Liang Liu, Chaoran Yu, Junbo Hu, Jianping Gong
Generally, the gold standard of radical surgery for gastrointestinal (GI) tumors is en bloc resection of primary lesions and their related tissues. For gastric cancer, the ideal surgical treatment should be D2 radical gastrectomy plus complete mesogastrium excision. Complete mesogastrium excision is rarely done or mentioned since little is known about the mesogastrium and its presence is still with controversy. Topographically, the "mesogastrium" refers to a peri-gastric structure composed of "fascia propria", enveloping lymph nodes, blood vessels and adipose tissues, which by connecting to the stomach, suspends from the posterior abdominal wall...
November 6, 2015: Scientific Reports
https://www.readbyqxmd.com/read/25827662/laparoscopic-ultrasound-a-surgical-must-for-second-line-intra-operative-evaluation-of-pancreatic-cancer-resectability
#6
P Piccolboni, A Settembre, P Angelini, F Esposito, S Palladino, F Corcione
BACKGROUND: Advanced laparoscopy for pancreatic cancer surgery should include laparoscopic ultrasound (LUS), in order to accurately evaluate resectability and rule out the presence of undetected metastases and/or vascular infiltration. LUS should be done as a preliminary step whenever pre-operative imaging casts doubts on resectability. PATIENTS AND METHODS: We hereby report our experience of 18 consecutive patients, aged 43-76, coming to our attention during a six months period (Jan-Jun 2013), with a diagnosis of pancreas head or body cancer...
January 2015: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/25713894/umbilical-single-incisional-approach-plus-one-port-for-partial-transverse-colectomy-initial-operative-experience
#7
Hidejiro Kawahara, Kazuhiro Watanabe, Mitsuhiro Tomoda, Hiroya Enomoto, Tadashi Akiba, Katsuhiko Yanaga
BACKGROUND/AIMS: Although single incision laparoscopy surgery (SILS) has recently been applied to various kinds of disease, there are few reports on partial transverse colectomy by SILS. We have been performing SILS plus one port procedure, SILS plus One. SURGICAL PROCEDURE: After placing 3cm incision in the umbilical fossa, a SILS portTM was introduced, and a 5-mm port was inserted in the upper left quadrant of the abdomen, and laparoscopic procedure was started...
October 2014: Hepato-gastroenterology
https://www.readbyqxmd.com/read/25368856/pure-single-incision-laparoscopic-d2-lymphadenectomy-for-gastric-cancer-a-novel-approach-to-11p-lymph-node-dissection-midpancreas-mobilization
#8
Sang-Hoon Ahn, Do Hyun Jung, Sang-Yong Son, Do Joong Park, Hyung-Ho Kim
We developed a novel approach to perform a perfect 11p lymph node dissection (LND), the so-called 'midpancreas mobilization' (MPM) method. Briefly, in pure single-incision laparoscopic distal gastrectomy (SIDG), after the completion of 7, 8a/12a, and 9 LND in the suprapancreatic portion, we started 11p LND after midpancreas mobilization. After mobilization of the entire midpancreas from the white line of Toldt, two gauzes were inserted behind the pancreas. This maneuver facilitated exposure of the splenic vein and complete detachment of soft tissue, including 11p lymph nodes, from the white line of Toldt, which was possible because of the tilting of the pancreas...
November 2014: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/24916586/proceedings-of-the-48th-annual-pancreas-club-meeting
#9
Marshall S Baker, Nicholas J Zyromski
The 48th annual Pancreas Club meeting was held on May 2 and 3, 2014, at the Westin Lombard in Lombard, IL. Two hundred sixty attendees included pancreatologists from 17 countries. Two hundred eleven abstracts were submitted; from these, a record number (64) oral presentations and 136 posters were selected. Table 1 documents oral abstract titles with institutional affiliation. Full abstracts for all oral presentations and posters are available at the Pancreas Club website, http://pancreasclub.com . Representative abstracts from each of the eight sessions are summarized below...
August 2014: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/24310762/laparoscopic-distal-pancreatectomy-new-standard-in%C3%A2-the%C3%A2-pancreatic-surgery
#10
Marek Durlik, Marta Matejak-Górska, Radosław Jaworowski, Zuzanna Kaszycka, Katarzyna Baumgart
UNLABELLED: The improvement of laparoscopic techniques that we witnessed over the last decade, also applied to pancreatic surgery. Both worldwide and in Poland, increasingly more patients with lesions located within the body and tail of the pancreas are treated using laparoscopic distal pancreatectomy. The aim of the study was to compare the outcomes of laparoscopic and open distal pancreatectomy. MATERIAL AND METHOD: Between January 2009 and March 2013, 107 patients underwent distal pancreatectomy at a single institution: 39 using laparoscopic technique and 68 using open technique...
October 2013: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/23290296/pretherapeutic-evaluation-of-patients-with-upper-gastrointestinal-tract-cancer-using-endoscopic-and-laparoscopic-ultrasonography
#11
REVIEW
Michael Bau Mortensen
BACKGROUND: A detailed and correct pretherapeutic evaluation of stage and resectability is mandatory for an optimal treatment strategy and results in patients with cancer of the esophagus, stomach or pancreas (UGIC). Curative surgery should only be attempted in patients with limited extent of their disease, patients with locally advanced disease should be allocated for neo-adjuvant therapy, while the remaining patients should be referred for palliative measures following a quick, lenient and correct pretherapeutic evaluation...
December 2012: Danish Medical Journal
https://www.readbyqxmd.com/read/22209958/image-guided-robotic-radiosurgery-cyberknife-for-pancreatic-insulinoma-is-laparoscopy-becoming-old
#12
Cristiano Germano Sigismondo Huscher, Andrea Mingoli, Giovanna Sgarzini, Andrea Mereu, Maurizio Gasperi
Insulinomas constitute about 25% of endocrine pancreatic tumors. Laparoscopic surgery is the treatment of choice. However, pancreas-related complications rate is very high, even in experienced hands, ranging up to 37%. Alternative procedures such as embolization with trisacryl have not been accepted by the surgical community. Image-guided robotic radiosurgery or stereotactic radiosurgery (CyberKnife) is a minimally invasive procedure delivering large doses of ionizing radiation to a well-defined target. CyberKnife radiosurgery is successfully used in brain cancer, lung cancer, prostate cancer, liver metastases, kidney cancer, and pancreatic cancer...
March 2012: Surgical Innovation
https://www.readbyqxmd.com/read/22146163/colon-cancer-in-the-splenic-flexure-comparison-of-short-term-outcomes-of-laparoscopic-and-open-colectomy
#13
COMPARATIVE STUDY
Masayuki Nakashima, Takashi Akiyoshi, Masashi Ueno, Yosuke Fukunaga, Satoshi Nagayama, Yoshiya Fujimoto, Tsuyoshi Konishi, Rota Noaki, Keiko Yamakawa, Yasutomo Nagasue, Hiroya Kuroyanagi, Toshiharu Yamaguchi
BACKGROUND: Laparoscopic surgery for colon cancer in the splenic flexure (SF cancer) is technically demanding and has not been evaluated in randomized clinical trials. This study aimed to evaluate the safety and feasibility of laparoscopic surgery for SF cancer. METHODS: Thirty-three patients undergoing laparoscopic surgery for SF cancer (LAC group) were retrospectively compared with 22 patients undergoing open surgery for SF cancer (OC group) between April 2003 and June 2010...
December 2011: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/22131088/novel-integrated-robotic-approach-for-suprapancreatic-d2-nodal-dissection-for-treating-gastric-cancer-technique-and-initial-experience
#14
Ichiro Uyama, Seiichiro Kanaya, Yoshinori Ishida, Kazuki Inaba, Koichi Suda, Seiji Satoh
BACKGROUND: Robotic surgery for the treatment of gastric cancer has been reported, but the technique is not yet established. The objective of this study was to assess the feasibility and safety of our novel integrated procedure for robotic suprapancreatic D2 nodal dissection during distal gastrectomy. METHODS: At our hospital from January 2009 to December 2010, a total of 25 consecutive cases of gastric cancer were treated by robotic distal gastrectomy with intracorporeal Billroth I reconstruction...
February 2012: World Journal of Surgery
https://www.readbyqxmd.com/read/21873961/minimally-invasive-pancreatic-surgery-of-the-entire-gland-initial-experience
#15
A A Gumbs, A M Rodriguez-Rivera, J P Hoffman
Many pancreatic cancer surgeons have been slow to adopt minimally invasive pancreatic surgery (MIPS) due a lack of formalized minimally invasive training and the perceived difficulty in dissecting pancreatic tumors and tissue away from the superior mesenteric vessels and consequent concerns for adequacy of oncologic margins and lymph node retrieval. A review of the first 29 MIPS procedures for malignant and premalignant tumors of the pancreas with the aid of a sterilizeable robotically-controlled camera holder was undertaken...
August 2011: Minerva Chirurgica
https://www.readbyqxmd.com/read/21605524/single-incision-laparoscopic-pancreas-resection-for-pancreatic-metastasis-of-renal-cell-carcinoma
#16
Umut Barbaros, Aziz Sümer, Tugrul Demirel, Nazlı Karakullukçu, Burçin Batman, Yalın Içscan, Gülay Sarıçam, Kürçsat Serin, Wei-Liang Loh, Ahmet Dinççağ, Selçuk Mercan
BACKGROUND: Transumbilical single incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain, reduced need for analgesia, and thus accelerated recovery. Herein, we report the first transumbilical single incision laparoscopic pancreatectomy case in a patient who had renal cell cancer metastasis on her pancreatic corpus and tail. METHODS: A 59-year-old female who had metastatic lesions on her pancreas underwent laparoscopic subtotal pancreatectomy through a 2-cm umbilical incision...
October 2010: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/20832296/advances-in-cancer-surgery-natural-orifice-surgery-notes-for-oncological-diseases
#17
Erwin Rieder, Lee L Swanstrom
Natural orifice transluminal endoscopic surgery (NOTES) is a new concept that attempts to reduce the impact of surgery on the patient. In surgical oncology several studies have already revealed that a minimally invasive approach provides at least the same, if not a better, long-term outcome. One could hypothesize that a less invasive approach such as NOTES could further enhance such advantages. Since its initial description, NOTES has become clinical reality and today nearly every organ is accessible by a transluminal approach, in at least the experimental setting...
September 2011: Surgical Oncology
https://www.readbyqxmd.com/read/20533064/fluorescence-laparoscopy-imaging-of-pancreatic-tumor-progression-in-an-orthotopic-mouse-model
#18
Hop S Tran Cao, Sharmeela Kaushal, Claudia Lee, Cynthia S Snyder, Kari J Thompson, Santiago Horgan, Mark A Talamini, Robert M Hoffman, Michael Bouvet
BACKGROUND: The use of fluorescent proteins to label tumors is revolutionizing cancer research, enabling imaging of both primary and metastatic lesions, which is important for diagnosis, staging, and therapy. This report describes the use of fluorescence laparoscopy to image green fluorescent protein (GFP)-expressing tumors in an orthotopic mouse model of human pancreatic cancer. METHODS: The orthotopic mouse model of human pancreatic cancer was established by injecting GFP-expressing MiaPaCa-2 human pancreatic cancer cells into the pancreas of 6-week-old female athymic mice...
January 2011: Surgical Endoscopy
https://www.readbyqxmd.com/read/20362783/outcomes-in-pancreatic-cancer-surgery
#19
REVIEW
Richard K Orr
The increase in surgery for pancreatic cancer during the last 3 decades can be correlated with a gradual decline in operative mortality and postoperative complications. Although not all surgeons (nor all hospitals) can have equal outcomes, the definition and tabulation of these outcomes have been difficult. This article asks several pertinent questions: (1) what is the scientific rationale for pancreatic resection? (2) what are the best available results at this time? (3) who should be performing pancreatic resections? The article analyzes results of resection for adenocarcinoma of the exocrine pancreas, and excludes duodenal and ampullary cancers, pancreatic endocrine tumors, and tumors of less malignant potential...
April 2010: Surgical Clinics of North America
https://www.readbyqxmd.com/read/20173614/laparoscopy-assisted-gastrectomy-for-patients-with-earlier-upper-abdominal-open-surgery
#20
Masanori Tokunaga, Naoki Hiki, Tetsu Fukunaga, Souya Nunobe, Shigekazu Ohyama, Toshiharu Yamaguchi
BACKGROUND: Laparoscopy-assisted gastrectomy (LAG) is increasingly carried out owing to its many advantages compared with conventional open gastrectomy. However, the question of whether LAG can be carried out safely in patients with earlier upper abdominal open surgery (EUAOS) remains unclear as laparoscopic adhesiotomy is technically difficult and time consuming. METHODS: This study includes 32 consecutive cases with EUAOS who underwent a LAG in the Cancer Institute Hospital, between April 2005 and October 2008...
February 2010: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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