Topic Highlight
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World J Gastroenterol. Oct 21, 2014; 20(39): 14246-14254
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14246
Laparoscopic pancreatectomy: Indications and outcomes
Shuyin Liang, Usmaan Hameed, Shiva Jayaraman
Shuyin Liang, Usmaan Hameed, Shiva Jayaraman, Division of General Surgery, University of Toronto, Toronto, ON M6R1B5, Canada
Shiva Jayaraman, Division of General Surgery, HPB Service, St. Joseph’s Health Centre Toronto, Toronto, ON M6R1B5, Canada
Author contributions: All authors contributed to the manuscript.
Correspondence to: Shiva Jayaraman, MD, MESc, FRCSC, Division of General Surgery, HPB Service St. Joseph’s Health Centre Toronto, 30 the Queensway, SSW 221 Toronto, ON M6R1B5, Canada. jayars@stjoe.on.ca
Telephone: +1-416-530-6653 Fax: +1-416-530-6653
Received: January 20, 2014
Revised: March 23, 2014
Accepted: May 19, 2014
Published online: October 21, 2014
Processing time: 273 Days and 11.1 Hours
Core Tip

Core tip: This review discusses recent advances in laparoscopic distal pancreatectomy (LDP), minimally invasive pancreaticoduodenectomy (MIPD), and enucleation. Recent studies show that LDP have improved perioperative recovery and equivalent oncologic outcomes. Studies on MIPD demonstrate that it is safe in terms of intra-operative outcomes, post-operative recovery and early oncologic outcomes; however, it requires advanced laparoscopic skills. Laparoscopic enucleation has become the operation of choice for small benign tumours that are away from the main pancreatic duct, especially insulinomas. We also summarize key results in pre-operative, perioperative and post-operative outcomes from contemporary series comparing open and laparoscopic pancreatic resections in the tables.