Laparoscopic radical anterograde modular pancreatosplenectomy for pancreatic tail cancer
10.3760/cma.j.cn113855-20220701-00429
- VernacularTitle:腹腔镜根治性顺行模块化胰脾切除术治疗胰体尾癌的回顾性分析
- Author:
Jie ZHU
1
;
Haibiao WANG
;
Xinhua ZHOU
;
Baiwen CHEN
;
Junyu CHEN
;
Hong LI
Author Information
1. 宁波市医疗中心李惠利医院肝胆外科，宁波 315000
- Keywords:
Pancreatic neoplasms;
Pancreatectomy;
Laparoscopy;
Prognosis
- From:
Chinese Journal of General Surgery
2023;38(5):335-340
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of laparoscopic radical anterograde modular pancreatosplenectomy (Lap-RAMPS).Methods:From Jan 2014 to Dec 2020, the clinical data of 83 patients who underwent laparoscopic radical resection for pancreatic tail cancer in LiHuili Hospital of Ningbo Medical Center were retrospectively analyzed.Results:Eighty-three cases were divided into Lap-RAMPS group (44 cases) and laparoscopic conventional distal pancreatectomy and splenectomy(Lap-CDP) group (39 cases). There were no significant differences in the duration of surgery [(245.34±70.30) min vs. (239.87±68.10) min], intraoperative blood lose [(159.32±115.60) ml vs. (208.97±161.70) ml] and intraoperative transfusions (2 cases vs. 3 cases) between the two groups ( P>0.05). There were no statistical significance in both groups in postoperative pancreatic fistula, postoperative bleeding grade, postoperative gastric emptying delay, Clavien-Dindo complication and postoperative hospital stay ( P>0.05). There were statistically significant differences in the negative margin rate (93.2% vs. 76.9%),lymph node harvest(12.91±8.24 vs. 8.49±6.85) and median survival time (25.0 months vs. 15.0 months) between the two groups ( P<0.05). Conclusion:Lap-RAMPS for pancreatic tail cancer is safe and feasible, increasing the negative rate of pancreatic margins, improving the lymph node harvest, and prolonging patients' survival time.
