Laparoscopic Central Pancreatic Resection or Laparoscopic Median Pancreatectomy

Laparoscopic central pancreatic resection or laparoscopic median pancreatectomy

Overall facts about laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
1.This is a highly controversy procedure
2. It can be done via an open approach or via laparoscopic central pancreatectomy or so call laparoscopic median pancreatectomy

Indication for laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
1. Benign but symptomatic tumor of the pancreas located at the pancreatic neck or proximal body.
2. Pre-malignant cystic pancreatic tumor ( ie: mucinous cystic lesion) located at the pancreatic neck

Contraindication for laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
1. Malignant pancreatic tumor

Advantages of laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
1. Preservation of pancreatic body and tail. Therefore, lower the risk of subsequent development of diabetes mellitus

Disadvantages of laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
1. Removed minimal tissue, therefore, may not be as oncologic as one think.
2. No lymph node clearance
3. Two cut pancreatic surfaces, therefore a high risk of pancreatic leaks post operatively

Surgery
1. Open central pancreatectomy or median pancreatectomy
2. Laparoscopic central pancreatectomy or laparoscopic median pancreatectomy


Which one to go for if you need central pancreatectomy ?
One can always consider Laparoscopic central pancreatectomy or laparoscopic median pancreatectomy rather than open central pancreatectomy. The advantages of laparoscopic central pancreatectomy or laparoscopic median pancreatectomy are small incisions, less pain, quicker return of bowel activity, earlier resuming of oral intake, earlier ambulation, lower risk of DVT and pneumonia.

Therefore in selected patient and in an experience surgical hands, Laparoscopic central pancreatectomy or laparoscopic median pancreatectomy should be the operation of choice


Where to recieve laparoscopic central pancreatectomy or laparoscopic median pancreatectomy
Here at Kaiser Permanente, South San Francisco experienced laparoscopic surgeons we had performed a very successful laparoscopic central pancreatic resection or laparoscopic median pancreatectomy about 1 year ago. Patient did very well and was able to play golf at St Andrews ( Scotland) several week after surgery. No postoperative diabetes Mellitus.

Kaiser Permanente, South San Francisco experienced laparoscopic surgeons currently do not perform laparoscopic central pancreatectomy or laparoscopic median pancreatectomy for pancreatic adenocarcinoma

Contact about laparoscopic central pancreatectomy or laparoscopic median pancreatectomy