Assessment of efficacy of laparoscopic approach for pancreatic neuroendocrine tumors
Aim - to present our experience of laparoscopic surgery of pancreatic neuroendocrine tumors and evaluate the efficacy of this method. Laparoscopic interventions on neuroendocrine tumors of the pancreas were performed in 27 (21,3 %) patients. The 13 patients had a functioning tumors and 14 - non-functioning tumors. The tumor was localized at the tail of pancreas in 14 (51,8 %) patients, at the body in 11 (40,7 %) and only in 2 (7,4%) patients at the head of pancreas. Laparoscopic enucleation of tumor was performed in 9 (33,3 %) patients, laparoscopic distal pancreatectomy with splenectomyin 13 (48,1 %), in 2 (7,4 %) -spleen preserving distal pancreatectomy, in 1 (3,7%) patient - central pancreatectomy, in 2 (7,4%) cases were conversion to an open procedure. The mean operative time was 154 (72-327) min (laparoscopic resection of pancreas - 196 (154-327) min, laparoscopic enucleation - 123 (72-176) min). The mean intraoperative blood loss was 300 (50-1100) ml (laparoscopic resection of pancreas - 320 (90-1100) mL, laparoscopic enucleation - 185 (50-640) ml). The 7 (25,9%) patients have anexternal pancreatic fistula, Grade A - 4 patients, Grade B - 3, Grade C - 0. Laparoscopic intervention is a safe and effective treatment for pancreatic neuroendocrine tumors.