Laparoscopic pancreatic resection for invasive pancreatic ductal adenocarcinoma

Akihiro Cho, Hiroshi Yamamoto, Osamu Kainuma, Yorihiko Muto, SeonJIn Park, Hidehito Arimitsu, Mamoru Sato, Hiroaki Souda, Atsushi Ikeda, Yoshihiro Nabeya, Nobuhiro Takiguchi, Matsuo Nagat

Chiba Cancer Center Hospital, Japan

Background: Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic pancreatic surgery, laparoscopic pancreatic resection for invasive ductal adenocarcinoma is still not universally accepted as an alternative approach for open surgery.

Methods: 20 patients with invasive pancreatic ductal adenocarinoma (PDAC) underwent laparoscopic pancreatic resection.

Surgical technique: We have performed laparoscopic diatal pancreatectomy based on radical antegrade modular pancreatosplenectomy (RAMPS), including distal pancreatectomy with en bloc celiac axis resection, for left-sided PDAC, and laparoscopic pancreaticoduodenectomy with resection of the superior mesenteric arterial plexus for right-sided PDAC.

Results: In all patients, laparoscopic pancreatic resection could be successfully performed, as planned. In 16 of 20 patients, the surgical margins were histologically clear (R0 resection).

Conclusions: Laparoscopic pancreatic resection is minimally invasive, safe and feasible, and can achieve R0 resection in selected patients with invasive pancreatic ductal adenocarcinoma.

Session: Video Channel Day 1

Program Number: V046

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