Pancréatectomies sous laparoscopie: Une série de 22 patients

Translated title of the contribution: Laparoscopic pancreatectomy: A series of 22 patients

M. Gagner, W. B. Inabnet, L. Biertho, B. Salky

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Introduction. - Laparoscopic pancreatic surgery underwent many changes in the last few years. Current indications include staging laparoscopy for pancreatic neoplasms, palliative treatment of non-resectable tumors, and pseudocysts drainage. Pancreatic tail resection or pancreatic enucleation have also been reported, but are currently under investigation. We report our experience in this domain. Material and methods. - Retrospective study of patients who had a pancreatic tail resection or pancreatic enucleation, in a single institution. Results. - From November 1993 to June 2002, a laparoscopic pancreatic resection was attempted in 22 patients. Nineteen patients were operated by laparoscopy (86%), two patients had conversion to laparotomy (9%), and one had conversion to a "hand-assisted" technique (4%). There was 17 left pancreatectomies and five enucleations. Median operating time was 4.1 hours (range 1.6 to 6.6 hours). There were no deaths in the first 30 post-operative days. Global morbidity rate was 31.8% (N =7), including four pancreatic fistulas (18%), one superficial phlebitis, one prolonged ileus, and one peri-pancreatic fluid collection. Median hospital stay was six days (1 to 26 days). Conclusion. - Pancreatic tail resections and enucleations are feasible by laparoscopy, with a mortality and morbidity rate similar to open surgery. The potential advantages of laparoscopy (reduced post-operative pain, hospital stay and recovery time) should be balanced with a potential increase in pancreatic fistula rate. That risk should be addressed before laparoscopy is generalized for pancreatic resections.

Translated title of the contributionLaparoscopic pancreatectomy: A series of 22 patients
Original languageFrench
Pages (from-to)2-7
Number of pages6
JournalAnnales de Chirurgie
Issue number1
StatePublished - Feb 2004


  • Enucleation
  • Laparoscopie
  • Laparoscopy
  • Neuroendocrine tumor
  • Pancreatic resection
  • Pancréatectomie caudale
  • Tumeurs endocrines
  • Énucléation

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Laparoscopic pancreatectomy: A series of 22 patients'. Together they form a unique fingerprint.

Cite this