Laparoscopic pancreaticoduodenectomy: a report of 233 cases by a single team
10.3760/cma.j.issn.0529-5815.2017.05.009
- VernacularTitle: 腹腔镜胰十二指肠切除术单中心233例临床经验总结
- Author:
Weiwei JIN
1
;
Xiaowu XU
;
Yiping MOU
;
Yucheng ZHOU
;
Renchao ZHANG
;
Jiafei YAN
;
Jiayu ZHOU
;
Chaojie HUANG
;
Chao LU
Author Information
1. Department of Gastro-entero-pancreatic, Zhejiang Provincial People′s Hospital, Hangzhou 310014, China
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Laparoscopic;
Pancreatic neoplasms;
Short-term outcomes
- From:
Chinese Journal of Surgery
2017;55(5):354-358
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summary the experience of 233 cases of laparoscopic pancreaticoduodenectomy (LPD) performed by a single surgical team.
Methods:Data of patients undergoing LPD from September 2012 to October 2016 were reviewed. There were 145 males and 88 females with the mean age of(60.3±13.0)years old, ranging from 19 to 92 years old, and the mean body mass index of (22.8±3.5)kg/m2, ranging from 16.3 to 36.8 kg/m2. There were 195 patients with clinical manifestation and 54 patients who had the history of abdominal surgery.
Results:LPD were performed on 233 patients by same surgical team consecutively. The mean operative time was(368.0±57.4)minutes. Mean blood loss was(203.8±138.6)ml. The postoperative morbidity rate was 33.5%, with 6.9% of grade B or C pancreatic fistula and 9.9% of bleeding. The reoperation rate was 5.6%. The mortality during 30 days after operation was 0.9%. Mean postoperative hospital stay was (18.1±11.2)days. Mean tumor size was (3.9±2.4)cm, and the mean number of lymph nodes harvested was 21.3±11.9.One hundred and sixty-three patients were diagnosed as malignant tumor, including pancreatic adenocarcinoma(n=84), cholangiocarcinoma(n=17), ampullary adenocarcinoma(n=55), duodenal adenocarcinoma(n=5), gastric cancer(n=1)and duel cancer (n=1) located in distal stomach and duodenum.
Conclusion:The key point to make laparoscopic pancreaticduodenectomy a routine safe procedure is to operate the procedure under skilled hands in selected patients via suitable surgical approaches.
