Clinical analysis of nine patients with laparoscopic pancreaticoduodenectomy
10.3760/cma.j.issn.1673-4904.2017.08.009
- VernacularTitle:九例腹腔镜下胰十二指肠切除术的临床疗效分析
- Author:
Jie YU
;
Jiansheng LIU
;
Jiansheng GUO
;
Yongping ZHANG
;
Zhigang WEI
- Keywords:
Laparoscopic;
Pancreaticoduodenectomy;
Pancreatic leakage;
Periampullary tumor
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(8):707-710
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of laparoscopic pancreaticoduodenectomy (LPD). Methods Clinical data of 9 patients who underwent LPD operation from September 2014 to February 2017 in the first hospital of Shanxi Medical University were analyzed retrospectively. Results 9 patients attempted LPD, while one required conversation to open procedure. Two cases underwent hand assisted laparoscopic surgery .The average operative time was (553 ± 86.1) minutes, the average amount of bleeding was (333.3 ± 304.1) ml, and the average hospitalization time after operation was (25.3 ± 8.9) d. Postoperative bowel sound recovery time was (3.5 ± 1) d. Postoperative complications included pancreatic leakage in 4 cases (A grade pancreatic leakage in 1 cases, B grade in 3 case), lymph leakage in 1 case, abdominal hemorrhage in 1 case , gastric emptying in 2 cases , and bile leakage in 1 case. All patients with postoperative complications were cured by non operative treatment. Postoperative pathological examination showed that 5 cases had duodenal papillary adenocarcinoma, 1 case had pancreatic ductal carcinoma, 2 cases had common bile duct disruption differentiation of carcinoma, and 1 case had pancreatic head retention cyst. Patients were followed up 3 to 24 months after operation. 1 case of pancreatic duct died 17 months after operation. One case of middle bile duct carcinoma 12 months after surgery had liver and retroperitoneal lymph node metastasis. The remaining 7 cases had no complications. Conclusions laparoscopic pancreaticoduodenectomy is minimally invasive, safe and feasible.
