Laparoscopic long sleeve pancreaticogastrostomy (LPG): a novel pancreatic anastomosis following central pancreatectomy
File(s)
Published version
Author(s)
Jiao, LR
Gall, TM
Sodergren, MH
Fan, R
Type
Journal Article
Abstract
BACKGROUND: Central pancreatectomy (CP) is preferred to distal pancreatectomy (DP) for the excision of benign tumours at the neck or body of the pancreas, in order to preserve pancreatic function and the spleen. However, the pancreaticoenterostomy is technically difficult to perform laparoscopically and the postoperative pancreatic fistula (POPF) rate is high. METHODS: A novel laparoscopic reconstruction of the pancreatic stump during CP is described, the laparoscopic long sleeve pancreaticogastrostomy (LPG). RESULTS: Two males and two females with a median age of 49 years had a laparoscopic CP with LPG. After a median follow-up of 27.5 months, there was no mortality. One patient had a grade A POPF, managed conservatively. CONCLUSIONS: The LPG is a safe and technically less demanding method to reconstruct pancreatic drainage laparoscopically.
Date Issued
2016-06-30
Date Acceptance
2015-12-28
Citation
Hepatobiliary Surgery and Nutrition, 2016, 5 (3), pp.245-248
ISSN
2304-389X
Publisher
AME Publishing Company
Start Page
245
End Page
248
Journal / Book Title
Hepatobiliary Surgery and Nutrition
Volume
5
Issue
3
Copyright Statement
© HepatoBiliary Surgery and Nutrition 2016. All rights reserved. The article is also available to access on the AME Publishing Group website: http://dx.doi.org/10.21037/hbsn.2016.02.02.
Subjects
Laparoscopic pancreatic surgery
benign pancreatic lesions
central pancreatectomy (CP)
distal pancreatectomy (DP)
pancreatico-gastrostomy
Publication Status
Published