Laparoscopic radical antegrade modular pancreatosplenectomy for left-sided pancreatic adenocarcinoma: analysis of 12 cases
10.3760/cma.j.issn.0529-5815.2018.03.009
- VernacularTitle: 腹腔镜根治性顺行模块化胰脾切除术治疗胰腺体尾部腺癌12例分析
- Author:
Xiaowu XU
1
;
Renchao ZHANG
;
Yiping MOU
;
Zhenyuan QIAN
;
Chaojie HUANG
;
Qicong ZHU
;
Weiwei JIN
;
Yucheng ZHOU
Author Information
1. Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People′s Hospital, Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou 310014, China
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Laparoscopy;
Radical antegrade modular pancreatosplenectomy
- From:
Chinese Journal of Surgery
2018;56(3):212-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of laparoscopic radical antegrade modular pancreatosplenectomy(Lap-RAMPS) for left-sided pancreatic adenocarcinoma.
Methods:Clinical data of total 12 patients underwent Lap-RAMPS for left-sided pancreatic adenocarcinoma at Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People′s Hospital from March 2016 to August 2017 were reviewed retrospectively.There were 7 male patients and 5 female patients, with median age of 60.5 years old(47-68 years old). Abdominal enhanced CT, pancreatic MRI, PET-CT were performed on all patients to evaluate the lesion and exclude metastasis.Follow-up were done with out-patient clinic or telephone consultancy until October 2017.
Results:All patients underwent pure Lap-RAMPS.The medium operative time was 250 minutes(180-445 minutes), and the blood loss was 150 ml(50-500 ml). The medium first flatus time and diet resumption time were 3.0 days(1-5 days) and 3.5 days(1-7 days) respectively.The medium postoperative hospital stay was 9 days(4-18 days). Morbidity occurred in 8 patients with gastric empty delay(n=1), bleeding(n=1), fluid collection(n=3). There was no mortality.The medium overall number of retrived lymph nodes was 15.6 and the positive rate was 41.7%. The R0 rate was 100%.The medium follow-up was 10 months.One patient was diagnosed as liver metastasis after 8 months and accepted chemotherapy.One patient died after 14 months for tumor recurrence and metastasis.Others survived without tumor recurrence or metasitasis.
Conclusion:Lap-RAMPS is safe and feasible with accepted oncological outcomes for selected left side pancreatic adenocarcinoma under skilled hands.
