1 253

Cited 6 times in

Laparoscopic pancreatic reconstruction technique following laparoscopic pancreaticoduodenectomy.

Authors
 Chang Moo Kang  ;  Sung Hwan Lee  ;  Woo Jung Lee  ;  Ho Kyoung Hwang  ;  Myung Jae Chung 
Citation
 JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Vol.22(3) : 202-210, 2015 
Journal Title
 JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES 
ISSN
 1868-6974 
Issue Date
2015
MeSH
Humans ; Laparoscopy/methods* ; Pancreas/surgery* ; Pancreatic Diseases/surgery* ; Pancreaticoduodenectomy/methods* ; Reconstructive Surgical Procedures/methods* ; Reoperation
Keywords
Laparoscopic ; Pancreaticoduodenectomy ; Pancreaticogastrostomy ; Pancreaticojejunostomy ; Robotic
Abstract
With the advance of laparoscopic experiences and techniques, it is carefully regarded that laparoscopic pancreaticoduodenectomy (lap-PD) is feasible and safe in managing perimapullary pancreatic pathology. Especially, laparoscopic management of remnant pancreas can be a critical step toward completeness of minimally invasive PD. According to available published reports, there is a wide range of technical differences in choosing surgical options in managing remnant pancreas after lap-PD. For the evidence-based surgical approach, it would be ideal to test potential techniques by randomized controlled trials, but, currently, it is thought to be very difficult to expect those clinical trials to be successful because there are still a lack of expert surgeons with sound surgical techniques and experience. In addition, lap-PD is so complicated and technically demanding that many surgeons are still questioning whether this surgical approach could be standardized and popular like laparoscopic cholecystectomy. In general, surgical options are usually chosen based on following question: (1) Is it simple? (2) Is it easy and feasible? (3) Is it secure and safe? (4) Is there any supporting scientific evidence? It would be interesting to estimate which surgical technique would be appropriate in managing remnant pancreas under these considerations. It is hoped that a well standardized multicenter-based randomized control study would be successful to test this fundamental issues based on sound surgical techniques and scientific background.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jhbp.193/abstract
DOI
10.1002/jhbp.193
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Lee, Sung Hwan(이성환)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Jung, Myung Jae(정명재)
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138846
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse