IMR Press / FBL / Volume 11 / Issue 3 / DOI: 10.2741/1962

Frontiers in Bioscience-Landmark (FBL) is published by IMR Press from Volume 26 Issue 5 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with Frontiers in Bioscience.

Open Access Article
The role of laparoscopy in pancreatic surgery
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1 Department of Aenesthesiological, Surgical and Emergency Sciences, Vth Unit of General Surgery and Advanced Surgical Techniques, Second University of Naples, Italy
2 Department of Head and Neck Surgery, Hospital of Terni, 3 IXth Unit of General Surgery and Biotechnology Applied to Surgery, Second University of Naples, Italy
Academic Editor:Antonio Giordano
Front. Biosci. (Landmark Ed) 2006, 11(3), 2203–2205; https://doi.org/10.2741/1962
Published: 1 September 2006
(This article belongs to the Special Issue Gene targets for modulating cell growth)
Abstract

Carcinoma of the pancreas is extremely common, with a five-year mortality rate of about 95-99%. Radical surgery requires good technical skill and can cause complications and operative mortality, but should be avoided in patients with extrapancreatic involvement. Advances in dynamic spiral CT-scan have decreased the number of unnecessary laparotomies. VLS is indicated in cases of pancreatic mass deemed resectable or "doubtful" by CT-scan. Direct laparoscopic visualization can be combined with intraoperative laparoscopic ultrasonography (LUS), which has shown a positive predictive value of resectability of 91%. Laparoscopic pancreatoduodenectomy (LPD) shows a high rate of complications and should be performed by very well-trained surgeons. Laparoscopic distal pancreatectomy (LDP) with an "en bloc" splenectomy and spleen preservation should be performed.

Keywords
Tumor
Neoplasia
Pancreas
Laparoscopy
Pancreatic Cancer
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