Various retraction techniques for laparoscopic pancreaticoduodenectomy
10.7602/jmis.2024.27.2.118
- Author:
Kwang Hyun KIM
1
;
Eui Hyuk CHONG
;
Incheon KANG
;
Sung Hwan LEE
;
Seok Jeong YANG
Author Information
1. Division of Hepatobiliary and Pancreas, Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- Publication Type:VIDEO/MULTIMEDIA ARTICLE
- From:Journal of Minimally Invasive Surgery
2024;27(2):118-124
- CountryRepublic of Korea
- Language:English
-
Abstract:
The laparoscopic pancreaticoduodenectomy (LPD), introduced by Gagner and Pomp in 1994, is typically done in high-volume centers due to its technical demands. Our methods aim to provide effective traction, enabling efficient surgery despite limited staffing. A retrospective analysis of 29 patients undergoing LPD by a single surgeon between September 2021 and December 2022 showed promising outcomes: median intraoperative bleeding of 425 mL, operation time of 505 minutes, and postoperative hospital stay of 10 days. With only one case requiring open conversion, our external retraction techniques demonstrate efficacy in overcoming challenges associated with manpower constraints, highlighting potential utility for surgeons in similar settings. We share LPD external retraction techniques and outcomes.
