Laparoscopic Management of Blunt Pancreatic Trauma in Adults and Pediatric Patients: A Systematic Review.
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2023
2023
Historique:
received:
28
01
2022
revised:
19
01
2023
accepted:
29
01
2023
medline:
1
11
2023
pubmed:
9
10
2023
entrez:
9
10
2023
Statut:
epublish
Résumé
Pancreatic trauma is an uncommon injury that occurs usually in a young population and is frequently overlooked and not readily appreciated on initial examination. Nowadays, the diagnosis and management of pancreatic trauma are still controversial, and there is no gold standard for the treatment. The aim of this study is to describe our experience in the management of blunt pancreatic trauma with a laparoscopic approach and review the literature on laparoscopic management of pancreatic trauma. A systematic literature review was performed, and 40 cases were reported and analysed; 10 cases were excluded because the complete data were not retrievable. We also reported our experience with the case of an 18-year-old male diagnosed with a deep laceration of the pancreas between body and tail, involving the main pancreatic duct, and with a concomitant hematoma. The patient underwent exploratory laparoscopy with abdominal toilet, necrosectomy, and suture of main pancreatic duct; the total blood loss was less than 200 ml, and the total operative time was 180 minutes. The patient recovered uneventfully and was discharged on the 6th postoperative day. 30 patients with pancreatic trauma, 10 adults and 20 pediatrics (mean age 28.2 years and 10.5 years), underwent a total laparoscopic approach: 2 distal pancreatic-splenectomy, 22 spleen-preserving distal pancreatectomy, and 6 laparoscopic drainage. The mean operative time for the adult and pediatric populations was 160.6 and 214.5 minutes, the mean estimated blood loss was 400 ml and 75 ml, and the mean hospital stay was 14.9 and 9 days, respectively. Laparoscopic management for pancreatic trauma can be considered feasible and safe when performed by an experienced laparoscopic pancreatic team, and in such a setting, it can be considered a viable alternative to open surgery, offering the well-known benefits of minimally invasive surgery.
Sections du résumé
Background
UNASSIGNED
Pancreatic trauma is an uncommon injury that occurs usually in a young population and is frequently overlooked and not readily appreciated on initial examination. Nowadays, the diagnosis and management of pancreatic trauma are still controversial, and there is no gold standard for the treatment. The aim of this study is to describe our experience in the management of blunt pancreatic trauma with a laparoscopic approach and review the literature on laparoscopic management of pancreatic trauma.
Methods
UNASSIGNED
A systematic literature review was performed, and 40 cases were reported and analysed; 10 cases were excluded because the complete data were not retrievable. We also reported our experience with the case of an 18-year-old male diagnosed with a deep laceration of the pancreas between body and tail, involving the main pancreatic duct, and with a concomitant hematoma. The patient underwent exploratory laparoscopy with abdominal toilet, necrosectomy, and suture of main pancreatic duct; the total blood loss was less than 200 ml, and the total operative time was 180 minutes. The patient recovered uneventfully and was discharged on the 6th postoperative day.
Results
UNASSIGNED
30 patients with pancreatic trauma, 10 adults and 20 pediatrics (mean age 28.2 years and 10.5 years), underwent a total laparoscopic approach: 2 distal pancreatic-splenectomy, 22 spleen-preserving distal pancreatectomy, and 6 laparoscopic drainage. The mean operative time for the adult and pediatric populations was 160.6 and 214.5 minutes, the mean estimated blood loss was 400 ml and 75 ml, and the mean hospital stay was 14.9 and 9 days, respectively.
Conclusion
UNASSIGNED
Laparoscopic management for pancreatic trauma can be considered feasible and safe when performed by an experienced laparoscopic pancreatic team, and in such a setting, it can be considered a viable alternative to open surgery, offering the well-known benefits of minimally invasive surgery.
Identifiants
pubmed: 37810623
doi: 10.1155/2023/9296570
pmc: PMC10555496
doi:
Types de publication
Systematic Review
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
9296570Informations de copyright
Copyright © 2023 Barbara Catellani et al.
Déclaration de conflit d'intérêts
Authors have no competing interests to disclose.
Références
Pancreatology. 2016 May-Jun;16(3):302-8
pubmed: 26764528
Surg Endosc. 2001 Jul;15(7):759
pubmed: 11591991
Ann Hepatobiliary Pancreat Surg. 2019 Nov;23(4):408-413
pubmed: 31825010
Surg Endosc. 2002 Jan;16(1):217
pubmed: 11961652
J Trauma Acute Care Surg. 2016 Nov;81(5):855-859
pubmed: 27537506
JSLS. 2016 Jan-Mar;20(1):
pubmed: 26877626
JOP. 2012 May 10;13(3):285-8
pubmed: 22572133
Surg Endosc. 2010 Oct;24(10):2623
pubmed: 20177912
J Laparoendosc Adv Surg Tech A. 2012 Jul-Aug;22(6):595-8
pubmed: 22691182
Surg Endosc. 2005 May;19(5):665-9
pubmed: 15759197
J Trauma Acute Care Surg. 2017 Jan;82(1):185-199
pubmed: 27787438
J Pediatr Surg. 2009 Feb;44(2):455-8
pubmed: 19231557
World J Surg. 2013 Jan;37(1):113-22
pubmed: 23052797
HPB (Oxford). 2014 Mar;16(3):275-81
pubmed: 23869407
Trop Gastroenterol. 2012 Apr-Jun;33(2):148-9
pubmed: 23025065
J Trauma. 1999 Dec;47(6):1098-103
pubmed: 10608540
Surg Clin North Am. 2007 Dec;87(6):1515-32, x
pubmed: 18053845
World J Gastroenterol. 2013 Dec 21;19(47):9003-11
pubmed: 24379625
J Trauma. 1997 Aug;43(2):234-9; discussion 239-41
pubmed: 9291366
J Pediatr Surg. 2003 Oct;38(10):E7-9
pubmed: 14577094
J Pediatr Surg. 2001 Feb;36(2):341-4
pubmed: 11172430
J Trauma. 1990 Nov;30(11):1427-9
pubmed: 2231822
Surg Laparosc Endosc Percutan Tech. 2006 Feb;16(1):41-3
pubmed: 16552379
Injury. 2003 Mar;34(3):233-4
pubmed: 12623258
J Surg Case Rep. 2014 Dec 04;2014(12):
pubmed: 25477017
J Laparoendosc Adv Surg Tech A. 2010 May;20(4):373-7
pubmed: 20210663
Curr Opin Crit Care. 2011 Dec;17(6):613-7
pubmed: 21986464
HPB (Oxford). 2018 Dec;20(12):1099-1108
pubmed: 30005994
J Pediatr Surg. 2011 Mar;46(3):588-93
pubmed: 21376217