Laparoscopic central pancreatectomy: Our technique and long-term results in 14 XXXX .

@entity5 @entity1 @entity190 @entity260
INTRODUCTION: Conventional pancreatic resections may be unnecessary for benign @entity5 or for @entity5 of low malignant potential located in the neck and body of pancreas. Such extensive resections can place the @entity1 at increased risk of developing postoperative exocrine and endocrine insufficiency. Central pancreatectomy is a plausible surgical option for the management of @entity5 located in these locations. Laparoscopic approach seems appropriate for such small @entity5 situated deep in the retroperitoneum. AIMS: To assess the technical feasibility, safety and long-term results of laparoscopic central pancreatectomy in @entity1 with benign and low malignant potential @entity5 involving the neck and body of pancreas. SETTINGS AND DESIGN: This study was an observational study which reports a single-centre experience with laparoscopic central pancreatectomy over a 9-year period. MATERIALS AND METHODS: 14 @entity1 underwent laparoscopic central pancreatectomy from October 2004 to September 2013. These included @entity1 with @entity5 located in the neck and body of pancreas that were radiologically benign-looking @entity5 of less than 3 cm in size. STATISTICAL ANALYSIS USED: The statistical analysis was done using GraphPad Prism software. RESULTS: The mean age of @entity1 was 48.93 years. The mean operative time was 239.7 min. Mean @entity190 was 153.2 ml. Mean postoperative ICU stay was 1.2 days and overall mean hospital stay was 8.07 days. There were no mortalities and no major @entity260 . Margins were negative in all cases and with a median follow-up of 44 months, there was no recurrence. CONCLUSIONS: Laparoscopic central pancreatectomy is a feasible procedure with acceptable morbidity. In the long term, there were no recurrences and pancreatic function was well preserved.
