Pancreaticoduodenectomy: a single center experience of 118 patients
10.3760/cma.j.issn.1007-8118.2018.08.011
- VernacularTitle:胰十二指肠切除术118例单中心临床经验
- Author:
Jinmeng HU
1
;
Jiuxing DONG
;
Tai QIN
;
Song GAO
;
Kaili ZHAO
;
Weiwei BAI
;
Jian WANG
Author Information
1. 天津医科大学肿瘤医院胰腺科国家肿瘤临床医学研究中心天津市肿瘤防治重点实验室天津市恶性肿瘤临床医学研究中心
- Keywords:
Pancreaticoduodenectomy,open abdominal,laparoscopic;
Complications,pancreatic fistula,gastroparesis syndrome
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(8):542-544
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical experience on pancreaticoduodenectomy (PD) in thepast three years from a single operation group at the Cancer Institute and Hospital of Tianjin Medical Universiy.Methods The clinical data of 118 patients who underwent PD from January 2015 to December 2017 were collected and analyzed retrospectively.Results Of the 118 patients who underwent PDs,102 underwent open pancreaticoduodenectomy (OPD) (86.4％),and 16 laparoscopic pancreaticoduodenectomy (LPD) (13.6％).There were 54.2％ males with a age of (56.0±12.0) years (39.83％ over 60 years).Malignancy was confirmed by pathology in 73.7％ (87/118 patients).The operative time was (324.0±95.6) minutes.Intraoperative blood loss was (192.8±97.5) ml and R0 resection was achieved in all patients.The postoperative complication rate was 46.6％ (55/118).The median postoperative hospital stay was (19.9±9.5) days.There was no perioperative mortality.The operation time of LPD was significantly longer than OPD,but there was no significant difference in intraoperative bleeding,lymph node clearance,postoperative complication rate and postoperative hospital stay (P＞0.05).Conclusions PD is safe and feasible.The postoperative complication rate was relatively high but all patients were discharged from hospital after appropriate treatment.Compared with OPD,LPD is a better alternative for patients.
