Initial Experience of Laparoscopic Distal Pancreatic Resections: A Single Institution Study with Fifteen Consecutive Cases

Objective: To review the initial experience of outcomes of a consecutive series of laparoscopic distal pancreatic resections are performed at a dedicated cancer hospital. Study Design: Case series. Place and Duration of Study: Department of Surgical Oncology at Tertiary Care Hospital, from Mar 2013...

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Published in:Pakistan Armed Forces medical journal 2023-12, Vol.73 (6), p.1745-1748
Main Authors: Bakhtiar, Nighat, Shakeel, Osama, Begum, Saleema, Kabir, Syed Irfan, Syed, Aamir Ali
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Cysts
Fistula
Hospitals
Hypoglycemia
Laparoscopic distal pancreatic resections
Laparoscopic surgery
Laparoscopy
Lymphatic system
Pancreas
Pancreatectomy
Pancreatic cancer
Pancreatic fistula
Patients
Surgeons
Surgical outcomes
Surgical site infections
Tumors
Ultrasonic imaging
Veins & arteries
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container_issue 6
container_start_page 1745
container_title Pakistan Armed Forces medical journal
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creator Bakhtiar, Nighat
Shakeel, Osama
Begum, Saleema
Kabir, Syed Irfan
Syed, Aamir Ali
description Objective: To review the initial experience of outcomes of a consecutive series of laparoscopic distal pancreatic resections are performed at a dedicated cancer hospital. Study Design: Case series. Place and Duration of Study: Department of Surgical Oncology at Tertiary Care Hospital, from Mar 2013 to Feb 2021. Methodology: A retrospective review of consecutive series of patients in which distal laparoscopic pancreatic resections were performed. Data was collected through the Hospital information system (HIS), an electronic hospital database. All patients were discussed in a multidisciplinary team prior to surgery. Results: Fifteen patients, including 4(26.6%) males with a mean age of 49.27±15.2, were planned for laparoscopic distal pancreatectomy. Pathologically, 12(80%) tumours were malignant, while three were benign. The procedure was converted to open in 3 patients. The mean operating time was 4.6±0.57 hours, with an estimated blood loss of around 183±28. 8mls.Mean hospital stay was 5.3±1.5 days. One patient developed a Grade A pancreatic fistula. Recurrence in the liver occurred in two patients, which was managed by systemic adjuvant therapy. However, one of them died later on because of sepsis. Conclusion: A laparoscopic distal pancreatectomy is a safe approach for distal pancreatic tumours, with minimal complications and fast recovery in appropriate cases.
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Study Design: Case series. Place and Duration of Study: Department of Surgical Oncology at Tertiary Care Hospital, from Mar 2013 to Feb 2021. Methodology: A retrospective review of consecutive series of patients in which distal laparoscopic pancreatic resections were performed. Data was collected through the Hospital information system (HIS), an electronic hospital database. All patients were discussed in a multidisciplinary team prior to surgery. Results: Fifteen patients, including 4(26.6%) males with a mean age of 49.27±15.2, were planned for laparoscopic distal pancreatectomy. Pathologically, 12(80%) tumours were malignant, while three were benign. The procedure was converted to open in 3 patients. The mean operating time was 4.6±0.57 hours, with an estimated blood loss of around 183±28. 8mls.Mean hospital stay was 5.3±1.5 days. One patient developed a Grade A pancreatic fistula. Recurrence in the liver occurred in two patients, which was managed by systemic adjuvant therapy. 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Conclusion: A laparoscopic distal pancreatectomy is a safe approach for distal pancreatic tumours, with minimal complications and fast recovery in appropriate cases.</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v73i6.8963</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Abdomen ; Abscesses ; Cysts ; Fistula ; Hospitals ; Hypoglycemia ; Laparoscopic distal pancreatic resections ; Laparoscopic surgery ; Laparoscopy ; Lymphatic system ; Pancreas ; Pancreatectomy ; Pancreatic cancer ; Pancreatic fistula ; Patients ; Surgeons ; Surgical outcomes ; Surgical site infections ; Tumors ; Ultrasonic imaging ; Veins &amp; arteries</subject><ispartof>Pakistan Armed Forces medical journal, 2023-12, Vol.73 (6), p.1745-1748</ispartof><rights>COPYRIGHT 2023 Knowledge Bylanes</rights><rights>(c)2023 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2910814746/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2910814746?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,25731,27901,27902,36989,44566,74869</link.rule.ids></links><search><creatorcontrib>Bakhtiar, Nighat</creatorcontrib><creatorcontrib>Shakeel, Osama</creatorcontrib><creatorcontrib>Begum, Saleema</creatorcontrib><creatorcontrib>Kabir, Syed Irfan</creatorcontrib><creatorcontrib>Syed, Aamir Ali</creatorcontrib><title>Initial Experience of Laparoscopic Distal Pancreatic Resections: A Single Institution Study with Fifteen Consecutive Cases</title><title>Pakistan Armed Forces medical journal</title><description>Objective: To review the initial experience of outcomes of a consecutive series of laparoscopic distal pancreatic resections are performed at a dedicated cancer hospital. 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ispartof Pakistan Armed Forces medical journal, 2023-12, Vol.73 (6), p.1745-1748
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subjects Abdomen
Abscesses
Cysts
Fistula
Hospitals
Hypoglycemia
Laparoscopic distal pancreatic resections
Laparoscopic surgery
Laparoscopy
Lymphatic system
Pancreas
Pancreatectomy
Pancreatic cancer
Pancreatic fistula
Patients
Surgeons
Surgical outcomes
Surgical site infections
Tumors
Ultrasonic imaging
Veins & arteries
title Initial Experience of Laparoscopic Distal Pancreatic Resections: A Single Institution Study with Fifteen Consecutive Cases
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