 |
|
Minimally invasive pancreas surgery leads to fewer complications, study finds
April 25, 2008When surgeons need to remove part of the pancreas, performing the operation with minimally invasive techniques offers patients a shorter hospital stay and fewer complications, researchers have concluded.
A study of more than 660 operations to remove pancreatic tumors and cysts over five years found that after laparoscopic surgery, patients stayed a third less time in the hospital without experiencing more complications such as leaks.
David Kooby, MD, assistant professor of surgical oncology at Emory University School of Medicine and the Emory Winship Cancer Institute, will present his findings at the American Surgical Association meeting in New York.
During laparoscopic surgery, doctors make smaller incisions than in traditional surgery and monitor their progress with fiber optics and video cameras. The less invasive approach has become well accepted for gallstone removal, repair of stomach valves and weight loss surgery, Kooby says.
"Data on patient outcomes has been scarce when it comes to extending this approach to the surgical care of other organs," he says. "Still, more surgeons and institutions are doing these procedures and more patients and referring doctors are requesting them. Our study shows that this approach is not only viable but may be preferable for the pancreas."
He and colleagues at eight universities across the Midwest and Southeast collected information on left pancreatectomies, where part but not all of the pancreas is removed, from 2002 to 2006. About a quarter were attempted laparoscopically.
About half the operations had complications, and a sixth had a leak of pancreatic fluid, the researchers found. Laparoscopic procedures had fewer complications (40 percent v. 57 percent) than standard surgery, and patients experienced lower blood loss and stayed about six days in the hospital compared with the standard nine.
Emory University
During laparoscopic surgery, doctors make smaller incisions than in traditional surgery and monitor their progress with fiber optics and video cameras. The less invasive approach has become well accepted for gallstone removal, repair of stomach valves and weight loss surgery, Kooby says.
"Data on patient outcomes has been scarce when it comes to extending this approach to the surgical care of other organs," he says. "Still, more surgeons and institutions are doing these procedures and more patients and referring doctors are requesting them. Our study shows that this approach is not only viable but may be preferable for the pancreas."
He and colleagues at eight universities across the Midwest and Southeast collected information on left pancreatectomies, where part but not all of the pancreas is removed, from 2002 to 2006. About a quarter were attempted laparoscopically.
About half the operations had complications, and a sixth had a leak of pancreatic fluid, the researchers found. Laparoscopic procedures had fewer complications (40 percent v. 57 percent) than standard surgery, and patients experienced lower blood loss and stayed about six days in the hospital compared with the standard nine.
Emory University
More Pancreas Surgery Current Events and Pancreas Surgery News Articles
 |
The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery (Beger, The Pancreas) by Hans-Gunther Beger (Editor), Markus Buchler (Editor), Richard Kozarek (Editor), Markus Lerch (Editor), John Neoptolemos (Editor), Andrew Warshaw (Editor), David Whitcomb (Editor), Keiko Shiratori (Editor) The encyclopedic guide to the pancreas for practicing clinicians and surgeons In the past decade extraordinary developments in diagnostic and therapeutic radiology and endoscopy have been coupled with major advances in surgical techniques and basic sciences. As a result the management of pancreatic disorders is now handled by a multidisciplinary team. This book shows you how to achieve superior patient management by taking the team approach to in-hospital care. Fully revised and updated, this new edition of The Pancreas: An Integrated Textbook of Basic Science, Medicine and Surgery details the latest knowledge on genetics and molecular biological background in terms of anatomy, physiology, pathology, and pathophysiology for all known pancreatic disorders. The Editor and... |
 |
Minimally Invasive Liver and Pancreas Surgery Directed By: Karen Sutton Also With: Karen Sutton (Producer) New technology and surgical techniques allow the application of laparoscopic (minimally invasive surgery) surgery for liver and pancreatic disease. Innovations will be illustrated with specific cases and operative video. This product is manufactured on demand using DVD-R recordable media. Amazon.com's standard return policy will apply. |
 |
Surgery of the Liver, Biliary Tract and Pancreas: 2-Volume Set with CD-ROM (SURGERY OF THE LIVER & BILIARY TRACT (2-VOL SET)) by Leslie H. Blumgart MD (Author) This 2-volume reference, edited by a panel of experts and featuring contributions by many leading authorities, comprehensively covers the cutting edge of research, teaching, and practice in surgery of the liver, biliary tract, and pancreas. This resource covers anatomy, pathophysiology, immunology, molecular biology, genetics, diagnosis, and treatment. Richly illustrated, it is accompanied by a DVD with detailed video clips of laproscopic procedures, effectively allowing you to use it as an operative atlas. Covers pathology, diagnostics, surgery, and non-operative intervention all in one text, to give you a single, comprehensive reference.Offers step-by-step procedures, extensively illustrated with over 200 operative line drawings. Provides new coverage of the pancreas,... |
 |
Surgical Pathology of the GI Tract, Liver, Biliary Tract and Pancreas: Expert Consult: Online and Print by Robert D. Odze MD FRCP(C) (Editor), John R. Goldblum MD FCAP FASCP FACG (Editor) This one-of-a-kind reference provides a comprehensive and practical guide to help you interpret endoscopic biopsies and resection specimens of all organs related to the digestive system. Plus, thanks to Expert Consult, you'll be able to access the entire contents of this title online and download all images, from anywhere there's an internet connection. The more than 2250 high quality illustrations, 30% more than in the first edition, help you recognize and diagnose any tissue sample under the microscope. Five new chapters, additional expert authors, expanded tables, and coverage of the current clinical approach to management and treatment options, particularly screening and surveillance recommendations for preneoplastic disorders, round out this unique reference. Acts as a... |
 |
A.H.P.B.A- 2005 Surgical Spring Week /DVD:22 Also With: American Hepato-Pancreato-Biliary Association (Host) A.H.P.B.A- 2005 Surgical Spring Week /DVD:22 State of the arts address: Management of chronic pancreatic pain in patients with small duct disease Dr. Markus W. Büchler (Germany) |
 |
Eponyms in Surgery and Anatomy of the Liver, Bile Ducts and Pancreas by Mark D. Stringer (Author) For surgeons, physicians, and anatomists involved in the management and study of disorders of the liver, bile ducts and pancreas, eponyms are part of everyday communication. They help to describe anatomical features, operative procedures, surgical instruments, and diseases. Unfortunately, many have become distorted or are inaccurately applied. Few of us understand their derivation or the remarkable people and controversies behind them. This book explores the origins of seventy eponyms in the field of hepatobiliary and pancreatic surgery and anatomy. Each section is deliberately short and intended for quick reference, providing accurate information about the origin of the eponym and the figure behind it. Meticulously researched, and beautifully illustrated with more than 150 photographs,... |
|
Pediatric Surgery of the Liver, Pancreas and Spleen (Principles and Practice of the Pediatric Surgical Specialties) by Medad Schiller (Editor) Comprehensive yet concise reference reflects progres made in the past 10-15 years in the understanding and treatment of liver, pancreas and splenic diseases in children. Emphasis is on rational use and interpretation of the newer imaging modalities, CT, ultrasonography, MRI and radioisotope scans, as well as up-to-the-minute operative treatments. Covers tumours of the liver and pancreas, vascular lesions of the liver, infantile obstructive jaundice and more. | |
 |
American Hepato-Pancreato-Biliary Association 2005 Meeting -DVD 3 Also With: American Hepato-Pancreato-Biliary Association (Host) 2005 A.H.P.B.A. Meeting April 14-17,2005 Florida, USA Laparoscopic Pancreas and bile duct Symposium -Laparoscopic pancreatic debridement Dr. Karen D. Horvath (USA) -Bile duct stricture management Dr. David L. Carr-Locke (USA) -Laparoscopic common duct exploration Dr. Stanley James Rogers (USA) |
 |
Endocrine Surgery: Principles and Practice (Springer Specialist Surgery Series) by Johnathan Hubbard (Editor), William B Inabnet (Editor), Chung-Yau Lo (Editor) With the recent surge of interest within the world of endocrine surgery, both in the US and worldwide, and resultant significant changes in the way this surgery is performed, Endocrine Surgery: Principles and Practice caters for those entering this field. The book provides the reader with extensive knowledge and advice on all aspects of the topic, presenting a broad yet concise coverage of endocrine surgery, making this a must-read for residents, specialist registrars in training and for surgeons looking for an up-to-date synopsis of endocrine surgery. The book is split into six sections covering Thyroid, Parathyroid, Adrenal, Pancreas, Carcinoid and Familial Endocrine conditions. Chapters include such topics as Thyrotoxicosis and Thyroiditis, Management of the Laryngeal Nerves and... |
 |
Surgery of the Liver, Bile Ducts and Pancreas in Children (Hodder Arnold Publication) by Edward R. Howard (Editor), Mark D. Stringer (Editor), Paul M. Colombani (Editor) The new edition of this successful text provides a complete overview of the surgical mangement of liver and biliary disease in children. It has been substantially revised, and now includes a comprehensive section on pancreatic disorders and their relationship to many aspects of liver disease. The book covers the clinical management of biliary disorders, liver tumors, portal hypertension and pancreatic disease, as well as liver trauma, infection and transplantation. It also provides a review of the surgical anatomy, physiology and embryology of each system. Other topics covered include the investigation of hepatobiliary disorders; current indications, techniques, results and complications of pediatric liver transplantation; nutritional and psychological aspects of liver disease in children... |
| © 2009 BrightSurf.com |