Analysis of surgical complications after laparoscopic duodenum-preserving pancreatic head resection for noncancerous lesions
10.3760/cma.j.cn113855-20210719-00440
- VernacularTitle:腹腔镜保留十二指肠胰头切除术后并发症分析
- Author:
Wei CHAI
1
;
Zhiquan ZHANG
;
Bao LEI
;
Junjian YUAN
;
Yu MENG
;
Xiulei ZHAO
;
Lei ZHANG
;
Ruhai LIU
Author Information
1. 沧州市中心医院普通外科,沧州 061000
- Keywords:
Pancreatectomy;
Duodenum;
Laparoscopes;
Complications
- From:
Chinese Journal of General Surgery
2022;37(6):443-446
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the common complications of laparoscopic duodenum- preserving pancreatic head resection(LDPPHR).Methods:The clinical data of 32 patients undergoing LDPPHR from Jun 2018 to Jun 2021 in Cangzhou Central Hospital were analyzed retrospectively.Results:LDPPHR was successfully performed in all 32 patients without conversion to open surgery. The incidence of postoperative complications was 21.9% (7/32), 3 cases suffering from sever complications (1 case of long-term postoperative pancreatic fistula, 1 case of obstructive jaundice caused by duodenal papilla stenosis, 1 case of postoperative abdominal bleeding) were cured by laparotomy; 4 cases of minor complications were simple pancreatic fistula, which were cured by prolonging dranage.Conclusions:LDPPHR is technically feasible for isolated noncancerous lesions within pancreatic head and uncinate process,the complications were manageable.Its suggested benefits remain to be established by long term follow-up.