Is the Lateral Decubitus Position Safe and Easy for Laparoscopic Distal Pancreatectomy?

Main Article Content

Cemil Yuksel
Serdar Culcu
Haydar Celasin


Aims: In this study, we compared the results of laparoscopic distal pancreatic surgery performed in the classical supine position and lateral decubitus position.

Study Design: Retrospective cohort study.

Place and Duration of Study: The files of 12 patients who underwent laparoscopic distal pancreatectomy in the General Surgery Clinic of our hospital between January 2017 and June 2020 were found by scanning the electronic file system of the hospital.

Methodology: Patients who underwent open surgery and whose data were not available, who had distant metastases, had a history of surgery due to other malignancies and those younger than 18 years were excluded from the study. All data were collected by the data collection assistant who was a general surgery and surgical oncology specialist. Clinicopathological records, inpatient treatment epicrisis, radiological examination reports, pathology reports and demographic information of the patients were reviewed.

Results: LDP was applied to 9 (75%) patients and LDP + splenectomy procedure was applied to 3 (25%) patients. Postoperative complications were seen in 2 (12.6%) patients. The average operation time was 199.58 minutes. The amount of perioperative bleeding was 111.25 ml. The average length of stay in the hospital is 5.83 ± 0.6 days. All of the patients are alive and the mean survival time is 16.91 ± 2.38 months, with no recurrence.

Conclusion: We think that LP provides a significant advantage to the surgeon, since it provides a better viewing angle and facilitates colon mobilization and stomach retraction. This argument can be supported by more patient numbers and studies.

Distal pancreatectomy, laparoscopic surgery, splenectomy, lateral decubitus position.

Article Details

How to Cite
Yuksel, C., Culcu, S., & Celasin, H. (2020). Is the Lateral Decubitus Position Safe and Easy for Laparoscopic Distal Pancreatectomy?. Journal of Cancer and Tumor International, 10(4), 1-6.
Original Research Article


Winslow ER, Brunt LM, Perioperative outcomes of laparoscopic versus open splenectomy: A meta-analysis with an emphasis on complications. Surgery. 2003; 134(4):647-653.

Soper N, et al. Laparoscopic distal pancreatectomy in the porcine model. Surgical Endoscopy. 1994;8(1):57-61.

Thomas JK, et al. Lateral laparoscopic approach to pancreatic tail insulinomas. World J Endocr Surg. 2012;4(1):3-7.

Melotti G, et al. Laparoscopic distal pancreatectomy: Results on a consecutive series of 58 patients. Annals of Surgery. 2007;246(1):77.

Honore C, Honore P, Meurisse M. Laparoscopic spleen-preserving distal pancreatectomy: description of an original posterior approach. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2007;17(5):686-689.

Nakamura M. et al. Lateral approach for laparoscopic splenic vessel-preserving distal pancreatectomy. Surgery. 2011; 150(2): 326-331.

Berends FJ, et al. Laparoscopic detection and resection of insulinomas. Surgery, 2000;128(3):386-391.

Cuschieri A, Jakimowicz JJ, van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis. Annals of surgery. 1996;223(3):280.

Lo C, Lo C, Fan S. Role of laparoscopic ultrasonography in intraoperative localization of pancreatic insulinoma. Surgical Endoscopy. 2000;14(12):1131-1135.

Nigri GR, et al. Metaanalysis of trials comparing minimally invasive and open distal pancreatectomies. Surgical endoscopy. 2011;25(5):1642-1651.

Kooby DA, et al. Left-sided pancreatectomy: A multicenter comparison of laparoscopic and open approaches. Annals of Surgery. 2008;248(3):438-446.

Kooby DA, et al. A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? Journal of the American College of Surgeons. 2010;210(5):779-785.

Strickland M, et al. Lateral approach in laparoscopic distal pancreatectomy is safe and potentially beneficial compared to the traditional medial approach. Surgical Endoscopy. 2015; 29(9):2825-2831.