Current status of laparoscopic pancreaticoduodenectomy and pancreatectomy

Akira Umemura, Hiroyuki Nitta, Takeshi Takahara, Yasushi Hasegawa, Akira Sasaki

Research output: Contribution to journalReview articlepeer-review

15 Citations (Scopus)


This review describes the recent advances in, and current status of, minimally invasive pancreatic surgery (MIPS). Typical MIPS procedures are laparoscopic pancreaticoduodenectomy (LPD), laparoscopic distal pancreatectomy (LDP), laparoscopic central pancreatectomy (LCP), and laparoscopic total pancreatectomy (LTP). Some retrospective studies comparing LPD or LDP and open procedures have demonstrated the safety and feasibility as well as the intraoperative outcomes and postoperative recovery of these procedures. In contrast, LCP and LTP have not been widely accepted as common laparoscopic procedures owing to their complicated reconstruction and limited indications. Nevertheless, our concise review reveals that LCP and LTP performed by expert laparoscopic surgeons can result in good short-term and long-term outcomes. Moreover, as surgeons’ experience with laparoscopic techniques continues to grow around the world, new innovations and breakthroughs in MIPS will evolve. Well-designed and suitably powered randomized controlled trials of LPD, LDP, LCP, and LTP are now warranted to demonstrate the superiority of these procedures.

Original languageEnglish
Pages (from-to)106-114
Number of pages9
JournalAsian Journal of Surgery
Issue number2
Publication statusPublished - 2018 Mar
Externally publishedYes


  • laparoscopic central pancreatectomy
  • laparoscopic distal pancreatectomy
  • laparoscopic pancreaticoduodenectomy
  • laparoscopic total pancreatectomy
  • postoperative pancreatic fistula

ASJC Scopus subject areas

  • Surgery


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