Pancreatectomia por videolaparoscopia: Uma revisão de literatura
DOI:
https://doi.org/10.33448/rsd-v14i2.48203Palavras-chave:
Laparoscópica; Tratamento; Pancreatectomia.Resumo
Introdução: A pancreatectomia é o procedimento cirúrgico considerado primeira linha de escolha para pancreatite crônica refratária, metástases locorregionais e neoplasias benignas e malignas. Pode variar anatomicamente em sua abordagem, podendo ser classificada como pancreatectomia central, distal ou total. Metodologia: O presente estudo é uma revisão narrativa, com limitação temporal dos últimos 5 anos (2019-2024) que resultou em 780 artigos, dos quais 59 foram utilizados como fonte de informação. Discussão: A pancreatectomia distal por videolaparoscopia é um procedimento cirúrgico indicado, principalmente, para o tratamento de neoplasias endócrinas pancreáticas, com destaque para NEM1, neoplasias mucinosas papilares intraductais, insulinomas e neoplasias císticas mucinosas. A indicação do procedimento é precedida por classificações pré-operatórias, como a relação entre o tumor e a veia esplênica, que avalia a extensão da relação entre as variáveis em uma escala de I a IV. Além disso, a abordagem pode ser total, distal ou central, sendo previamente estruturada em seis etapas dentro das diferentes técnicas cirúrgicas. As principais complicações associadas incluem fístula pancreática, hemorragia, insuficiência endócrina, infecção do sítio cirúrgico, sepse e trombose venosa profunda, cuja incidência pode ser maior em pacientes com fatores de risco, como idade avançada, infiltração gordurosa do pâncreas, diabetes mellitus pré-existente e uso prévio de anticoagulantes. Conclusão: A pancreatectomia por videolaparoscopia é uma técnica cirúrgica minimamente invasiva que apresenta avanços significativos na redução das complicações pós-operatórias, além de melhorias contínuas na avaliação de seus benefícios, especialmente em relação à diminuição dos riscos cirúrgicos.
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Copyright (c) 2025 Luana Maria Ramalho Castro Siqueira; Nicole Mota Picanço; Caio Alexandre Diniz Oliveira; Ivanka Távora Veras de Matos ; José de Ribamar Barroso Jucá Neto; Raul Sancho de Carvalho Rocha; Letícia Fernandes de Deus Moreira; Thiago Menezes de Souza; Gleydson César de Oliveira Borges
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