Preliminary experience of laparoscopic pancreaticoduodenectomy

doi:10.3877/cma.j.issn.2095-3232.2019.03.008

Abstract

Abstract:

Objective

To investigate the feasibility and safety of laparoscopic pancreaticoduodenectomy (LPD).

Methods

Clinical data of 15 patients with LPD admitted to the First People's Hospital of Foshan from December 2015 to August 2018 were retrospectively analyzed. Among them, 8 patients were male and 7 female, aged (61±9) years on average. The informed consents of all patients were obtained and the local ethical committee approval was received. LPD via five-port approach was performed. The perioperative conditions and postoperative recurrence were observed.

Results

All patients completed the operation successfully. 5 cases underwent laparoscopy-assisted pancreaticoduodenectomy (LAPD) and 10 cases of complete LPD. The operation time of LAPD was (492±66) min, and the median of intraoperative blood loss was 330(100-700) ml, and those of complete LPD were (547±82) min and 205(100-300) ml accordingly. No blood transfusion was given in two groups. In LAPD group, the length of hospital stay was (18±4) d, and (12±2) d in complete LPD group. Postoperative pancreatic fistula occurred in 4 cases, all of which were grade B. No grade C pancreatic fistula was observed. Delayed gastric emptying was observed in 1 case. No postoperative complications, such as hemorrhage and bile leakage occured. The follow-up time was 10(2-36) months. No tumor recurrence was found during the follow-up period.

Conclusions

LPD is safe and efficacious. It should be gradually carried out from LAPD to complete LPD. The surgeons should be highly experienced in open surgery and be skilled in laparoscopic operation.

Key words: Panceaticoduodenectomy, Laparoscopes, Pancreatic neoplasms

Huanwei Chen, Fengjie Wang, Feiwen Deng, Jieyuan Li, Jianyuan Hu. Preliminary experience of laparoscopic pancreaticoduodenectomy[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2019, 08(03): 212-216.

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