HYPOTHESIS Total pancreatectomy for infiltrating ductal adenocarcinoma is not superior to pancreaticoduodenectomy or distal pancreatectomy. DESIGN A retrospective analysis of a prospective database of patients. SETTING Memorial Sloan-Kettering Cancer Center, New York, NY. PATIENTS All patients (n = 488) undergoing pancreatic resection. MAIN OUTCOME MEASURES Duration of operation, estima...

CONTEXT Congenital hyperinsulinism (CHI), the commonest cause of persistent hypoglycaemia, has two main histological subtypes: diffuse and focal. Diffuse CHI, if medically unresponsive, is managed with near-total pancreatectomy. Post-pancreatectomy, in addition to persistent hypoglycaemia, there is a very high risk of diabetes mellitus and pancreatic exocrine insufficiency. SETTING Internatio...

CONTEXT Current management of late post-pancreatectomy haemorrhage in a university hospital. OBJECTIVE Haemorrhage after pancreaticoduodenectomy is a serious complication. We report on risk factors and outcome following management by radiological intervention. SETTING Tertiary care centre in Scotland. SUBJECTS Sixty-seven consecutive patients who underwent pancreaticoduodenectomy. METHO...

CONTEXT Post-pancreatectomy hemorrhage is one of the most common complications after pancreaticoduodenectomy. OBJECTIVE To evaluate the late post-pancreatectomy hemorrhage rate according to the International Study Group of Pancreatic Surgery criteria and to recognize factors related to its onset. METHODS A prospective study of 113 patients who underwent pancreaticoduodenectomy was conducted...

BACKGROUND This article reviews the current status of robot-assisted laparoscopic pancreaticoduodenectomy and distal pancreatectomy. METHOD Searches of MEDLINE and PubMed databases were conducted using the keywords "laparoscopic pancreatectomy," "robotic surgery," "pancreaticoduodenectomy" and "distal pancreatectomy" to find articles published between January 1990 and September 2012. Addition...

BACKGROUND/AIMS This study hopes to identify risk factors for postoperative pancreatic fistulae in patients undergoing distal pancreatectomy. METHODS The study group was composed of 39 patients who had undergone distal pancreatectomy between January 2000 and June 2008. Fourteen presumed risk factors were retrospectively reviewed. RESULTS Pancreatic fistula developed in 10 patients (25.6%). ...

Laparoscopic pancreatectomy has evolved from resection of benign lesions to the treatment of malignant lesions without compromising patient safety and oncologic principles. Driven by the technical shortcomings of laparoscopic surgery, robotic pancreatectomy is the latest development in this evolution. Presently, there are limited but increasing amount of data comparing the outcomes of the vario...

Distal pancreatectomy with en-bloc splenectomy has been considered the standard technique for management of benign and malignant pancreatic disorders. However, splenic preservation has recently been advocated. The aim of this study was to review the experiences of distal pancreatectomy using the open or the laparoscopic approach and to critically discuss the need to perform splenectomy. Origina...

RATIONALE Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. PATIENTS AND METHODS Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and...

BACKGROUND Distal pancreatectomy (DP) is a surgical procedure performed to remove the pancreatic tail jointly with a variable part of the pancreatic body and including a spleen resection in the case of conventional distal pancreatectomy or not in the spleen-preserving distal pancreatectomy. METHODS In this article, we describe a standardized operative technique for fully robotic distal pancre...