Laparoskopische Pankreaschirurgie

Eingriffe am Pankreas gehören zu den technisch schwierigsten Operationen in der Viszeralchirurgie. Minimalinvasive Operationen an der Bauchspeicheldrüse erfordern zudem ein hohes Maß an Erfahrung im Einsatz komplexer laparoskopischer Techniken, spezieller Instrumente und Herangehensweisen. Dennoch werden auch Eingriffe am Pankreas zunehmend minimalinvasiv vorgenommen, da die Vorteile dieser Therapieform, z. B. die Reduktion des postoperativen Schmerzes und die Verkürzung des Krankenhausaufenthalts, auch in der Pankreaschirurgie nachgewiesen werden konnten.

• Quellenangaben

• Cuschieri A. Laparoscopic surgery of the pancreas. J R Coll Surg Edinb 1994; 39: 178-184
• Cuschieri A, Jakimowicz JJ, van Spreeuwel J. Laparoscopic distal 70 % pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg 1996; 223: 280-285
• Di Sabatino A, Carsetti R, Corazza GR. Post-splenectomy and hyposplenic states. Lancet 2011; 378: 86-97
• Dulucq JL, Wintringer P, Mahajna A. Laparoscopic pancreaticoduodenectomy for benign and malignant diseases. Surg Endosc 2006; 20: 1045-1050
• Farrell JJ, Brugge WR. Intraductal papillary mucinous tumor of the pancreas. Gastrointest Endosc 2002; 55: 701-714
• Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 1994; 8: 408-410
• Keck T, Kuesters S, Wellner U et al. Laparoscopic pylorus-preserving pancreatic head resection and hybrid open reconstruction via pancreatogastrostomy. J Gastrointest Surg 2011; 15: 373-377
• Kendrick ML, Sclabas GM. Major venous resection during total laparoscopic pancreaticoduodenectomy. HPB (Oxford) 2011; 13: 454-458
• Kim SC, Park KT, Hwang JW et al. Comparative analysis of clinical outcomes for laparoscopic distal pancreatic resection and open distal pancreatic resection at a single institution. Surg Endosc 2008; 22: 2261-2268
• Kim SC, Song KB, Jung YS et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc 2013; 27: 95-103
• Peng SY, Wang JW, Hong DF et al. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy. Updates Surg 2011; 63: 69-74
• Shoup M, Brennan MF, McWhite K et al. The value of splenic preservation with distal pancreatectomy. Arch Surg 2002; 137: 164-168
• Siech M, Bartsch D, Beger HG et al. Indications for laparoscopic pancreas operations: results of a consensus conference and the previous laparoscopic pancreas register. Chirurg 2012; 83: 247-253
• Venkat R, Edil BH, Schulick RD et al. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg 2012; 255: 1048-1059
• Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg 1988; 123: 550-553
• Wellner UF, Makowiec F, Sick O et al. Arguments for an individualized closure of the pancreatic remnant after distal pancreatic resection. World J Gastrointest Surg 2012; 4: 114-120
• Yamamoto M, Hayashi MS, Nguyen NT et al. Use of Seamguard to prevent pancreatic leak following distal pancreatectomy. Arch Surg 2009; 144: 894-899
• Zeh HJ, Zureikat AH, Secrest A et al. Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol 2012; 19: 864-870