The Introduction of Laparoscopic Distal Pancreatectomy at Our Institution

Hisashi Ikoma, PhD, Yukihito Kokuba, PhD, Yusuke Yamamoto, PhD, Ryou Morimura, PhD, Yastutoshi Murayama, PhD, Syuuhei Komatsu, PhD, Atsushi Shiozaki, PhD, Yoshiaki Kuriu, PhD, Masayoshi Nakanishi, PhD, Daisuke Ichikawa, PhD, Hitoshi Fujiwara, PhD, Kazuma Okamoto, PhD, Toshiya Ochiai, PhD, Eigo Otsuji, PhD. Department of Digestive Surgery,Kyoto Prefectural University of Medicine

Currently, laparoscopic distal pancreatectomy (Lap-DP) is treated as an advanced medical technology, and yet, there has been an increase in the number of institutions using this procedure. However, cases requiring Lap-DP are far fewer than for other digestive laparoscopic surgeries. Therefore, it is difficult to introduce Lap-DP in the same way as laparoscopic gastrectomy, colectomy and cholecystectomy, for which there are many candidates. Therefore, it is difficult to safely and efficiently introduce Lap-DP. At our institution, we introduced Lap-DP by applying the surgical technique of laparoscopic colectomy to this procedure under the mentorship of a Japan Society for Endoscopic Surgery-certified surgeon who also has experience with a large number of laparoscopic colectomy. At our institution, we have also adopted this surgical technique and are safely operating and implementing this technique, and we herein report the conditions associated therewith and describe the adjustments made regarding this treatment modality. Laparoscopic colectomy was determined to be useful based on detailed membrane anatomy and in order to maintain a good surgical view. When introducing new laparoscopic surgery techniques, it is helpful to find common ground with prevailing laparoscopic surgery methods and to apply these known techniques to the new procedure.

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