Clinical study of "total laparoscopic pancreaticoduodenectomy" in low-flow hospitals
10.3760/cma.j.cn121382-20210201-00411
- VernacularTitle:低流量医院行"全腹腔镜下胰十二指肠切除术"临床研究
- Author:
Quan MAN
1
;
Huifang PANG
;
Yaming GUO
;
Zhiyuan SHAO
;
Yanzhe CHEN
;
Xiangjun QI
Author Information
1. 通辽市医院肝胆胰外科 028000
- Keywords:
Pancreaticoduodenectomy;
Laparoscopic technique;
Uncinate process
- From:
International Journal of Biomedical Engineering
2021;44(4):313-317
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety, feasibility and clinical value of the "posterior colon approach, uncinate process first" of total laparoscopic pancreaticoduodenectomy in low volume hospitals.Methods:The clinical data of 3 patients who underwent complete laparoscopic pancreaticoduodenectomy were analyzed from January 2020 to August 2020.Results:All the 3 patients successfully underwent total laparoscopic pancreaticoduodenectomy. For the 3 patients, the operative time was 430, 385 and 425 min, and the blood loss was 550, 420 and 400 ml. After the operation, no pancreatic fistula, bile leakage, intestinal fistula and astric emptying disorder were found in the patients. The exhaust time of the 3 patients was 4, 5 and 5 days after the operation, respectively. On the 6th day after the operation, the gastric tube was removed. The extraction time of the abdominal drainage tube of the 3 patients was the 7th, 7th and the 9th day, and the postoperative hospital stay was 18, 15 and 16 days, respectively. Postoperative pathological diagnosis results showed that the 3 patients included 1 case of pancreatic head high-moderately differentiated ductal adenocarcinoma, 1 case of duodenal ampullary high-moderately differentiated adenocarcinoma, and 1 case of duodenal papillary well-differentiated adenocarcinoma.Conclusions:"Posterior approach of uncinate process" is safe and feasible in laparoscopic pancreaticoduodenectomy. It can be popularized in low volume hospitals.
