Introduction. Laparoscopic pancreatic surgery has experienced significant development within last few years. The majority of procedures are left pancreatectomy and enucleations. More complex pancreatic resections such as central pancreatectomies were performed routinely in very few centers.
The aim. To improve the results of surgical treatment of patients with tumors of the left anatomical segment of the pancreas.
Methods. Results of surgical treatment of patients with neoplastic lesions of the left anatomical segment of the pancreas in the period from 2009 to 2014 using laparoscopic access were analysed: 11 patients had laparoscopic distal pancreatectomy, 5 — laparoscopic enucleation of tumors. The results were compared with those after open operations, performed in the same period.
Results. The patient stationary treatment term was trustworthy less after laparoscopic operations. There was not a trustworthy difference in the postoperative complications rate, intraoperative blood loss severity and the distal resection duration. The intraoperative blood loss severity and duration of laparoscopic enucleation of pancreatic tumor are trustworthy less.
Conclusions. Laparoscopic distal pancreatectomy and pancreas sparing techniques, such as enucleation and central pancreatectomy, should be used to the patient’s with low-grade malignant neoplasm. These methods have enough advantages to improve the results of surgical treatment of tumors of the body and tail of the pancreas.