Laparoscopic total pancreastectomy: a report of 3 cases

Objective To investigate the value of laparoscopic total pancreastectomy for the treatment of noncancerous pancreatic lesions. Methods Clinical data of 3 cases of noncancerous pancreatic lesions undergoing laparoscopic total pancreatectomy in Zhejiang Provincial People′s Hospital were reviewed retrospectively. Results One patient underwent laparoscopic total pancreatectomy, one patient underwent laparoscopic resection with robotic reconstruction and one did laparoscopic resection with open reconstruction. All were spleen preserving surgery. The operation time was 310(280-350) minutes, estimated blood loss was 483 ml(250-700)ml and postoperative hospital stay was 27(14-38) days. One patient had postoperative bile leakage .Insulin was used to control blood glucose level in all postoperative cases .As showed by pathology there were intraductal papillary mucinous neoplasms in two patients and multiple neuroendocrine tumor in one patient. Conclusion Laparoscopic total pancreatectomy is safe and minimally invasive for the treatment of noncancerous pancreatic diseases. Key words: Pancreatic neoplasms; Pancreatectomy; Laparoscopy