Laparoscopic duodenum-preserving subtotal pancreatic head resection: a clinical analysis of eight patients
10.3760/cma.j.issn.1007-8118.2019.11.012
- VernacularTitle: 腹腔镜保留十二指肠胰头切除术八例临床分析
- Author:
Jianzhang QIN
1
;
Xueqing LIU
;
Le WANG
;
Jiayue DUAN
;
Jianhua LIU
Author Information
1. Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Pancreaticoduodenectomy;
Pancreatic neoplasms;
Duodenum-preserving pancreatic head resection;
Pancreatic head inflammatory mass;
Duodenal blood supply
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(11):846-849
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical experience of laparoscopic duodenum-preserving subtotal pancreatic head resection (LDPPHR).
Methods:The clinical data of 8 patients with LDPPHR performed at the Second Hospital of Hebei Medical University from November 2016 to February 2019 were analyzed retrospectively.
Results:All the eight patients underwent LDPPHR successfully. The operation time was 207.0~540.0 minutes. The estimated blood loss was 50.0~200.0 ml. The postoperative hospital stay was 10.0~27.0 days. One patient developed pancreatic fistula of grade B, and one patient developed biliary fistula. Pathologic results showed pancreatic solid pseudopaillary neoplasm in 3 patients, intraductal papillary mucinous neoplasms in 1 patient, mucinous cystadenoma in 1 patient, serous cystadenoma in 1 patient, neuroendocrine neoplasm in 1 patient, and pancreatic true cyst in 1 patient.
Conclusion:LDPPHR is a safe and effective surgical method for treatment of pancreatic head inflammatory mass, pancreatic head benign or low-grade malignant tumors.
