Laparoscopic pancreaticoduodenectomy via a "G "-shaped approach: experience of 33 cases
10.3760/cma.j.issn.1007-631X.2018.07.014
- VernacularTitle:“G”形手术路径的腹腔镜胰十二指肠切除术33例临床疗效分析
- Author:
Zhigang WEI
1
;
Yuxuan WEI
;
Tianyu HUO
;
Yu LIU
;
Jie YU
;
Hao YAN
;
Guiming WANG
Author Information
1. 山西医科大学第一医院普通外科
- Keywords:
Pancreaticoduodenectomy;
Surgical procedures,minimally invasive;
Laparoscopes
- From:
Chinese Journal of General Surgery
2018;33(7):575-577
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of "G"-shaped surgical approach in laparoscopic pancreaticoduodenectomy.Methods The clinical data of 33 patients who received " G"-shaped laparoscopic pancreaticoduodenectomy in the First Hospital of Shanxi Medical University from April 2015 to March 2018 were retrospectively analyzed.Results All patients underwent surgery successfully.The time required for surgery ranged from 340 to 498 min,the blood loss ranged from 150 to 800 ml,and the specimen resection time ranged from 135 to 270 min.There were 10 cases of biochemical leakage,3 cases of B grade pancreatic fistula and 1 case of bile leak.Postoperative pathology confirmed lower bile duct adenocarcinoma in 17 cases,duodenal papillary adenocarcinoma in 11 cases and poorly differentiated adenocarcinoma of the pancreatic head in 5 cases.Conclusions " G"-shaped approach as a simple,effective and safe way for LPD,is particularly helpful for inexperienced hands.
