Short-term result of laparoscopic pancreaticoduodenectomy
10.3760/cma.j.issn.1007-631X.2018.09.007
- VernacularTitle:腹腔镜胰十二指肠切除术的近期疗效观察
- Author:
Wei CHAI
1
;
Zhiquan ZHANG
;
Fengshan LI
;
Bao LEI
;
Junjian YUAN
;
Deshuai KONG
;
Ruhai LIU
Author Information
1. 沧州市中心医院普通外科
- Keywords:
Pancreaticoduodenectomy;
Comparative effectiveness research;
Laparoscopes
- From:
Chinese Journal of General Surgery
2018;33(9):737-741
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term efficacy of laparoscopic pancreaticoduodenectomy (LPD) with open pancreatoduodenectomy (OPD).Methods The clinical data of 122 LPD patients and 167 OPD patients at our department from 2015 to 2017 were analyzed retrospectively.Results There was no significant difference in demographic,ASA classification,preoperative liver function between the two groups (P ＞0.05).The operative time was (405 ± 109) min vs.(312 ±57) min,liquid diet intake time postoperatively was (5.4 ± 2.6) d vs.(7.9 ± 3.3) d,postoperative hospital stay was (10.4 ± 6.1) d vs.(14.5 ± 8.6) d,with all the difference statistically significant (P ＜ 0.05).Intraoperative blood loss was (290 ± 102) ml vs.(322 ± 75) ml,the number of lymph node dissection in malignant tumor cases was (14.7 ± 5.6) vs.(13.9 ± 7.3),R0 resection rate in malignant tumor cases was 97.9％ (96/98)vs.96.6％ (143/148),the incidence of postoperative complications was 39.3％ (48/122) vs.35.3％(59/167) (all P ＞0.05).All patients were followed up with a median time m group LPD and group OPD was 9 months and 11 months respectively,and the tumor free survival rate was 93.4％ (114/122) and 90.4％ (151/167) at 6 months (P ＞ 0.05).Conclusion LPD has the same safety and radical effect as the traditional OPD surgery,while of less trauma and quicker postoperative recovery.
