{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T15:30:34Z","timestamp":1676907034803},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p> Context Our experience with laparoscopic pancreatic resection began in 2001. During initial experience, laparoscopy was reserved for selected cases. With increasing experience more complex laparoscopic procedures such as central pancreatectomy and pancreatoduodenectomies were performed.   Objectives The aim of this paper is to review our personal experience with laparoscopic pancreatic resection over 11-year period.   Methods All patients who underwent laparoscopic pancreatic resection from 2001 through 2012 were reviewed. Preoperative data included age, gender, and indication for surgery. Intraoperative variables included operative time, bleeding, blood transfusion. Diagnosis, tumor size, margin status were determined from final pathology reports.   Results Since 2001, 96 patients underwent laparoscopic pancreatectomy. Median age was 55 years old. 60 patients were female and 36 male. Of these, 88 (91.6%) were performed totally laparoscopic; 4 (4.2%) needed hand-assistance, 1 robotic assistance. Three patients were converted. Four patients needed blood transfusion. Operative time varied according type of operation. Mortality was nil but morbidity was high, mainly due to pancreatic fistula (28.1%). Sixty-one patients underwent distal pancreatectomy, 18 underwent pancreatic enucleation, 7 pylorus-preserving pancreatoduodenectomies, 5 uncinate process resection, 3 central and 2 total pancreatectomies.   Conclusions Laparoscopic resection of the pancreas is a reality. Pancreas sparing techniques, such as enucleation, resection of uncinate process and central pancreatectomy, should be used to avoid exocrine and\/or endocrine insufficiency that could be detrimental to the patient's quality of life. Laparoscopic pancreatoduodenectomy is a safe operation but should be performed in specialized centers by highly skilled laparoscopic surgeons.<\/jats:p>","DOI":"10.1590\/s0004-28032013000200038","type":"journal-article","created":{"date-parts":[[2014,1,14]],"date-time":"2014-01-14T18:42:02Z","timestamp":1389724922000},"page":"214-218","source":"Crossref","is-referenced-by-count":14,"title":["LAPAROSCOPIC PANCREATIC RESECTION. FROM ENUCLEATION TO PANCREATODUODENECTOMY. 11-YEAR EXPERIENCE"],"prefix":"10.1590","volume":"50","author":[{"given":"Marcel Autran Cesar","family":"MACHADO","sequence":"first","affiliation":[{"name":"Hospital Sirio Libanes,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Canada Trofo","family":"SURJAN","sequence":"additional","affiliation":[{"name":"Hospital Sirio Libanes,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzan Menasce","family":"GOLDMAN","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sao Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Celso","family":"ARDENGH","sequence":"additional","affiliation":[{"name":"niversidade de Sao Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Ferrari","family":"MAKDISSI","sequence":"additional","affiliation":[{"name":"Hospital Sirio Libanes,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"133","article-title":"Current role of imaging methods in the diagnosis of cystic solid pancreas neoplasms","volume":"38","author":"Ardengh JC","year":"2011","journal-title":"Rev Col Bras Cir"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.jamcollsurg.2012.08.006","article-title":"Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the Accordion Severity Grading System","volume":"215","author":"Asbun HJ","year":"2012","journal-title":"J Am Coll Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.surg.2005.05.001","article-title":"Postoperative pancreatic fistula: an international study group (ISGPF) definition","volume":"138","author":"Bassi C","year":"2005","journal-title":"Surgery"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1097\/01.sla.0000262790.51512.57","article-title":"Middle pancreatectomy: indications, short- and long-term operative outcomes","volume":"246","author":"Crippa S","year":"2007","journal-title":"Ann Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1007\/s00464-010-1223-7","article-title":"Laparoscopic enucleation of pancreatic neoplasm","volume":"25","author":"Dedieu A","year":"2011","journal-title":"Surg Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1007\/s11605-007-0266-0","article-title":"Curative laparoscopic resection for pancreatic neoplasms: a critical analysis from a single institution","volume":"11","author":"Fern\u00e1ndez-Cruz L","year":"2007","journal-title":"J Gastrointest Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1002\/jso.23253","article-title":"Laparoscopic pancreatectomy for malignancy","volume":"107","author":"Fisher SB","year":"2013","journal-title":"J Surg Oncol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1007\/BF00642443","article-title":"Laparoscopic pylorus-preserving pancreatoduodenectomy","volume":"8","author":"Gagner M","year":"1994","journal-title":"Surg Endosc"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1245\/s10434-010-1503-4","article-title":"Laparoscopic pancreatoduodenectomy: a review of 285 published cases","volume":"18","author":"Gumbs AA","year":"2011","journal-title":"Ann Surg Oncol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.jamcollsurg.2010.06.010","article-title":"Laparoscopic distal pancreatectomy: evolution of a technique at a single institution","volume":"211","author":"Jayaraman S","year":"2010","journal-title":"J Am Coll Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.jamcollsurg.2012.03.023","article-title":"Laparoscopic distal pancreatectomy: trends and lessons learned through an 11-year experience","volume":"215","author":"Kneuertz PJ","year":"2012","journal-title":"J Am Coll Surg"},{"key":"ref12","first-page":"993","article-title":"Multimodality imaging of neoplastic and nonneoplastic solid lesions of the pancreas. 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