Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results

Diagnosis of pancreatic cancer is challenging in the initial phases because its progression is rapid. The pancreatic tail and body roughly accounts for 20–30% of all cancerous cases. The standard treatment for symptomatic benign, malignant, and premalignant diseases of the pancreatic tail and body i...

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Main Authors: Danilo Coco, Silvana Leanza, Riccardo Schillaci, Giuseppe Angelo Reina
Format: Article
Language:English
Published: Termedia Publishing House 2021-10-01
Series:Gastroenterology Review
Subjects:
Online Access:https://www.termedia.pl/Laparoscopic-distal-pancreatectomy-for-benign-and-malignant-disease-a-review-of-techniques-and-results,41,45344,1,1.html
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author Danilo Coco
Silvana Leanza
Riccardo Schillaci
Giuseppe Angelo Reina
author_facet Danilo Coco
Silvana Leanza
Riccardo Schillaci
Giuseppe Angelo Reina
author_sort Danilo Coco
collection DOAJ
description Diagnosis of pancreatic cancer is challenging in the initial phases because its progression is rapid. The pancreatic tail and body roughly accounts for 20–30% of all cancerous cases. The standard treatment for symptomatic benign, malignant, and premalignant diseases of the pancreatic tail and body is distal pancreatectomy. This technique has been modified over the years to fit certain indications, with the goal of enhancing post-operative results as well as reducing patient trauma. In cases of a premalignant and symptomatic benign condition, the spleen must be preserved either using Kimura’s splenic vessel preservation technique or Warshaw’s splenic vessel resection technique. A better long-term prognosis is ensured by regional lymph node dissection and radical R0 resection. Radical antegrade modular pancreatosplenectomy was proposed to tackle the shortcomings of traditional surgery for pancreatic tail and body cancer. In this review, study techniques and results of laparoscopic distal pancreatectomy for malignant and benign pancreatic ailments were described with the intention of providing knowledge on various suitable techniques reported for pancreatic cancer treatment. Furthermore, this study will serve as a ready reckoner for surgeons and could serve to boost their confidence levels during surgery by avoiding confusion on the selection of suitable for the pancreatic diseases diagnosed.
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institution Kabale University
issn 1895-5770
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language English
publishDate 2021-10-01
publisher Termedia Publishing House
record_format Article
series Gastroenterology Review
spelling doaj-art-14f3ce7f6b4c4e239643d1a5d6970a082025-01-10T14:06:14ZengTermedia Publishing HouseGastroenterology Review1895-57701897-43172021-10-0117210310910.5114/pg.2021.10962545344Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and resultsDanilo CocoSilvana LeanzaRiccardo SchillaciGiuseppe Angelo ReinaDiagnosis of pancreatic cancer is challenging in the initial phases because its progression is rapid. The pancreatic tail and body roughly accounts for 20–30% of all cancerous cases. The standard treatment for symptomatic benign, malignant, and premalignant diseases of the pancreatic tail and body is distal pancreatectomy. This technique has been modified over the years to fit certain indications, with the goal of enhancing post-operative results as well as reducing patient trauma. In cases of a premalignant and symptomatic benign condition, the spleen must be preserved either using Kimura’s splenic vessel preservation technique or Warshaw’s splenic vessel resection technique. A better long-term prognosis is ensured by regional lymph node dissection and radical R0 resection. Radical antegrade modular pancreatosplenectomy was proposed to tackle the shortcomings of traditional surgery for pancreatic tail and body cancer. In this review, study techniques and results of laparoscopic distal pancreatectomy for malignant and benign pancreatic ailments were described with the intention of providing knowledge on various suitable techniques reported for pancreatic cancer treatment. Furthermore, this study will serve as a ready reckoner for surgeons and could serve to boost their confidence levels during surgery by avoiding confusion on the selection of suitable for the pancreatic diseases diagnosed.https://www.termedia.pl/Laparoscopic-distal-pancreatectomy-for-benign-and-malignant-disease-a-review-of-techniques-and-results,41,45344,1,1.htmlpancreatic cancer laparoscopic distal pancreatectomy open distal pancreatectomy radical antegrade modular pancreatosplenectomy warshaw technique kimura technique.
spellingShingle Danilo Coco
Silvana Leanza
Riccardo Schillaci
Giuseppe Angelo Reina
Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
Gastroenterology Review
pancreatic cancer
laparoscopic distal pancreatectomy
open distal pancreatectomy
radical antegrade modular pancreatosplenectomy
warshaw technique
kimura technique.
title Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
title_full Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
title_fullStr Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
title_full_unstemmed Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
title_short Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results
title_sort laparoscopic distal pancreatectomy for benign and malignant disease a review of techniques and results
topic pancreatic cancer
laparoscopic distal pancreatectomy
open distal pancreatectomy
radical antegrade modular pancreatosplenectomy
warshaw technique
kimura technique.
url https://www.termedia.pl/Laparoscopic-distal-pancreatectomy-for-benign-and-malignant-disease-a-review-of-techniques-and-results,41,45344,1,1.html
work_keys_str_mv AT danilococo laparoscopicdistalpancreatectomyforbenignandmalignantdiseaseareviewoftechniquesandresults
AT silvanaleanza laparoscopicdistalpancreatectomyforbenignandmalignantdiseaseareviewoftechniquesandresults
AT riccardoschillaci laparoscopicdistalpancreatectomyforbenignandmalignantdiseaseareviewoftechniquesandresults
AT giuseppeangeloreina laparoscopicdistalpancreatectomyforbenignandmalignantdiseaseareviewoftechniquesandresults