The laparoscopic approach for benign and malignant lesions in the tail of the pancreas is becoming a more widely used approach. Multiple prospective studies have shown the feasibility and safety of laparoscopic distal pancreatectomy in single-center and multi-center settings. Laparoscopic distal pancreatectomy is a challenging procedure, because the pancreas is surrounded by critical structures and located in the retroperitoneum. Pancreatic fistula remains a common complication in the laparoscopic approach. Distal pancreatic aggressive tumors may not be appropriate for the laparoscopic approach due to the lack of oncologic safety studies. © 2013 Elsevier Inc.
Kudsi, O. Y., Gagner, M., & Jones, D. B. (2013, January). Laparoscopic Distal Pancreatectomy. Surgical Oncology Clinics of North America. https://doi.org/10.1016/j.soc.2012.08.003