Ruolo della laparoscopia nella chirurgia del carcinoma pancreatico

Ialongo, P. and Pannarale, O. and Panebianco, Annunziata and Volpi, A. and Pezzolla, Angela and De Luca, M. and Palasciano, Nicola (2009) Ruolo della laparoscopia nella chirurgia del carcinoma pancreatico. Il giornale di chirurgia, 30 (5 Supp). pp. 153-156. ISSN 1971-145X

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Aim: The authors reviewed their experience in surgical treatment of pancreatic cancer between 2003-2008. Methods: 82 pancreatic cancer patients (median age 66,7±12,5) with obstructive jaundice were enrolled in our study: 36 (44%) had an endoscopic biliary stent; 46 patients (56%) were eligible for surgery: 14 received a curative surgery (pancreatoduodenal resection; 4 had a laparoscopic procedure) and 32 patients with non resectable tumor a palliative surgery: 18 had a gastro-jejunal with a biliary anastomosis (in 4 patients the hepatic-jejunal anastomosis was performed in laparoscopy), 6 had a gastro-jejunal anastomosis (2 laparoscopic procedure) and 8 patients had only an explorative laparoscopy. Results: The resectability rates was 17,1%. Median age in patients treated with endoscopic biliary stent was significantly higher than those underwent surgery (72,3±12,2 vs 63,5±9,6; p < 0,05). Hospital length of stay in patients underwent radical surgery was significantly higher than those who received palliative surgery (18±6 vs 10±5; p <0,05). Morbility rate, including operative mortality of 4,3%, was 15,2%. Conclusions: Laparoscopy is largerly used in major oncologic surgery for several reasons: it minimized surgical manipulations and so post-operative complications. There is enough scientific evidence of low incidence of post-operative complications and long-term results compared to those achieved with traditional surgery.

Item Type: Article
Uncontrolled Keywords: pancreatic cancer, laparoscopy
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 11 Feb 2016 16:11
Last Modified: 11 Feb 2016 16:11

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