Original communicationLaparoscopic pancreatic resection: Results of a multicenter European study of 127 patients
Section snippets
Patients
From 1995 to 2002, 127 patients with pancreatic lesions were reviewed retrospectively in 25 European centers. The median annual experiences per center in open pancreatic resections was 15 patients (range, 3-99), and for laparoscopic pancreatic resections (LPR) the annual median was 3 patients (range, 1-29), with only 4 centers (16%) treating more than 10 patients (L.F.C., J.S.A., C.B., G.D.). The inclusion rate increased over the study period (Figure). Patient, tumor size and type, and
Demographics
The median patient age was 52 years (range, 8-80 years); 68.5% were female. Fourteen patients (11%) were classified ASA III, according to the American Society of Anesthesiologists physical status score.46
Disease
Pancreatic diseases selected for laparoscopic resection are detailed in Table I. All patients with serous cystadenoma were symptomatic or appeared macrocystic on preoperative imaging studies, suggesting mucinous cystadenoma. The neoplasm was solitary in 123 patients, and 4 patients had 2
Discussion
To the best of our knowledge, the present series of LPR is the largest reported to date. However, most surgeons still remain in their learning curve, something important to bear in mind when analyzing the present study. On the other hand, this series reflects the results of LPR in a broad spectrum of general surgeons, giving thus a true picture of the procedure.
The most common indications for LPR were presumed benign pancreatic diseases, such as insulinoma or localized neuroendocrine neoplasms
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Martine Goergen, MD,c Michel Ceuterick, MD,c Gian Luigi Melotti, MD,d Yves Van Nieuwenhove, MD,e Bernard Dallemagne, MD,f Mustapha Adham, MD, PhD,i Eric de la Roche, MD,i Uwe Hesse, MD,k Dirk Ysebaert, MD,l Thiery Chapelle, MD,l Geert Roeyen, MD,l Raymond Aerts, MD,m Jean Closset, MD,n Issam El Nakadi, MD,n Michel Gelin, MD, PhD,n Bertrand Millat, MD,o Frédéric Borie, MD,o Catherine Arvieux, MD,p Jean-Luc Faucheron, MD,p Christian Letoublon, MD,p Claude Bertrand, MD,q André de Neve de Roden, MD,r Benoit Navez, MD,s Jean-Pierre Staudt, MD,t André Dabrowski, MD,u B.M.E. Hansson, MD,v Christian Gouillat, MD, FACS,w Jacques Marescaux, MD, FACS,x Bernard Sastre, MD,y and Claire Beguin, MD, PhDa
From Saint-Luc University Hospital, Brussels, Belgiuma; Centre Hospitalier de Luxembourg, Luxembourgc; Grand Duché de Luxembourg and CHU André Vésale, Montignies-Le-Tilleul, Belgiumc; Ospedale San Agostino, Modena, Italyd; AZ VUB, Brussels, Belgiume; Cliniques Saint-Joseph, Liège, Belgiumf; CHU Hôpital de la Croix-Rousse, Lyon, Francei; Universitair Ziekenhuis, Gent, Belgiumk; UIA, Antwerpen, Belgiuml; Gasthuisberg Hospital, Leuven, Belgiumm; Hôpital Erasme, Brussels, Belgiumn; CHU Hôpital St-Eloi, Montpellier, Franceo; CHU de Grenoble, Grenoble, Francep; Hôpital de Jolimont, Haine-St-Paul, Belgiumq; Clinique Sainte-Elisabeth, Brussels, Belgiumr; Hôpital Saint-Joseph, Gilly, Belgiums; Clinique Saint-Jean, Brussels, Belgiumt; Centre Hospitalier de Seclin, Seclin, Franceu; University Medical Center, Nijmegen, The Netherlandsv; CHU Hôtel Dieu, Lyon, Francew; Hôpital Civil–IRCAD–EITS, Strasbourg, Francex; CHRU Hôpital Sainte-Marguerite, Marseille, Francey