PHẪU THUẬT NỘI SOI CẮT TỤY TRUNG TÂM: GIẢI PHÁP CHO CÁC TỔN THƯƠNG LÀNH TÍNH VÙNG CỔ THÂN TỤY?

Abstract

Introduction: With the advancements in surgical techniques and the emergence of laparoscopic procedures, the trend towards minimally invasive approaches and parenchyma-sparing surgeries has gained prominence over conventional pancreatic resection methods. In this context, we specifically focus on laparoscopic central pancreatectomy, a selectively applied technique for patients with benign lesions located in the neck of the pancreas. In this article, we concentrate on demonstrating the technique and sharing our experiences with laparoscopic central pancreatectomy. Methods: Clinical case-based technique description. Case-series. Results: 6 patients successfully underwent laparoscopic central pancreatectomy with pancreaticogastrostomy. The average operation time was 248.3 minutes. Post-operatively, the average hospital stay was 9.3 days. Blood loss was insignificant. 2 cases (33.3%) experienced pancreatic fistula (grade A), which responded to medical therapy. All were followed up for at least 1 month, with an average follow-up duration of 6.8 months. Conclusion: For selective patients with benign or low-grade malignant tumors in the pancreatic neck and proximal body, laparoscopic central pancreatectomy represents a feasible and effective minimally invasive approach, aiming to maximize preservation of pancreatic tissue and function.