Abstract
Laparoscopic pancreatoduodenectomy is currently limited to a few tertiary centers worldwide. The slow distribution of this technique since its first description by Gagner and Pomp (Gagner 1994) more than twenty years ago is due to numerous reasons: (1) In contrast to laparoscopic distal pancreatectomy, the laparoscopic pancreatic head resection is characterized by a complex reconstruction involving the pancreatic anastomosis as well as the biliojejunal anastomosis. (2) The technical prerequisites for dissectors and instrumentation have only been developed during the past few years. (3) The combination of laparoscopic proficiency with profound expertise in pancreatic surgery has only just emerged in this new generation of surgeons. In summary, there has been a very dynamic development of the laparoscopic pancreatic head resection during the past few years. There have been published series with over 50 patients demonstrating the feasibility and safety of this technique in specialized centers. In highly specialized teams this technique is even advanced towards more complex surgeries including portal vein resection as well as laparoscopic portal vein reconstruction [1]. The rapid development of this field can be noted when highlighting the number of cases published between January 2012 and June 2013, which exceed the numbers of the 15 years prior [2].
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Wellner, U., Honselmann, K., Keck, T. (2017). Hybrid Laparoscopic Duodenopancreatectomy. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_23
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DOI: https://doi.org/10.1007/978-3-319-54301-7_23
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