Title : The Role of Laparoscopic Approach to Pancreatic Resections: An Evidence Update
The laparoscopic approach to gastrointestinal cancer resections offers advantages in terms of postoperative hospital stay, return of bowel function and intensive care and hospital stays. Though laparoscopic pancreatic resections are technically demanding, they are gaining increasing acceptance in specialised units. We appraise case-matched comparative studies, randomised studies and meta-analyses that compared laparoscopic with open pancreatic resections (pancreaticoduodenectomy, distal pancreatectomy) and present an evidence-based update to guide practice.
The data suggest that whilst laparoscopic resections in experienced hands require significantly longer operating time than open resections, they are associated with benefits, particularly significant reductions in intensive care and hospital stay and more rapid functional recovery. The laparoscopic approach to pancreatic resections is becoming the gold standard approach in selected patients and in experienced hands within high volume units.