Application of vascular axis approach in laparoscopic radical antegrade modular pancreatosplenectomy of pancreatic body and tail adenocarcinoma
10.3760/cma.j.cn113884-20230414-00120
- VernacularTitle:循血管轴路径在胰体尾癌腹腔镜根治性顺行模块化胰脾切除术中的应用
- Author:
Hongtao PAN
1
;
Hao JIN
;
Yong WANG
;
Qing PANG
;
Xiaosi HU
;
Chao ZHU
;
Shilei CHEN
;
Huichun LIU
;
Ling WANG
Author Information
1. 安徽省第二人民医院肝胆胰外科，合肥 230011
- Keywords:
Pancreatic neoplasms;
Laparoscopy;
Radical antegrade modular pancreatosplenectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(9):679-682
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety of laparoscopic antegrade modular pancreatosplenectomy (L-RAMPS) through vascular axis approach in the treatment of pancreatic body and tail adenocarcinoma.Methods:The clinical data of 12 patients with pancreatic body and tail adenocarcinoma undergoing L-RAMPS in Department of Hepatobiliary Pancreatic Surgery, Anhui No.2 Provincial People's Hospital from April 2021 to December 2022 were retrospectively analyzed, including eight males and four females, aged (65.8±11.6) years. Data regarding operative time, intraoperative blood loss, anal exhaust time, postoperative hospital stay, lymph node dissection, pathology, and postoperative complications, and survival were analyzed.Results:The procedures were successfully completed in all 12 patients. Eight patients underwent anterior L-RAMPS, four underwent posterior L-RAMPS. In one patient laparoscopic procedure was almost completed, but eventually conversed to open surgery due to vascular invasion. The operative time was (221.5±21.7) min, the intraoperative blood loss was (224.1±125.3) ml, the anal exhaust time was (3.5±1.0) d, and the postoperative hospital stay was (10.0±3.9) d. All patients underwent R 0 resection, and (15.1±3.7) lymph nodes were dissected. Positive lymph nodes were confirmed in four patients. Six patients had postoperative pancreatic fistula. The patients had been followed up for a median time of 9.5 (3.2-15.0) months, and three patients died. Conclusion:The vascular axis approach could optimize the L-RAMPS surgical approach and improve surgical safety.
