| Wenbin Wang,Haitao Lv,Changqing Yan,Zhongqiang Xing,Jiansheng Zhang,Tianyang Wang,Jianhua Liu. Clinical efficacy of total three-dimensional laparoscopic pancreatoduodenectomy. Oncol Transl Med, 2016, 2: 254-257. |
| Clinical efficacy of total three-dimensional laparoscopic pancreatoduodenectomy |
| Received:August 03, 2016 Revised:December 17, 2016 |
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| KeyWord:periampullary carcinoma; laparoscopy; pancreatoduodenectomy; three-dimensional |
| Author Name | Affiliation | E-mail | | Wenbin Wang | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | wwb2981@163.com | | Haitao Lv | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | | | Changqing Yan | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | | | Zhongqiang Xing | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | | | Jiansheng Zhang | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | | | Tianyang Wang | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | | | Jianhua Liu | Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050017, China | ljh@medmail.com.cn |
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| Abstract: |
| Objective To investigate the feasibility and clinical efficacy of total three-dimensional laparoscopic pancreatoduodenectomy.
Methods The clinical data of 28 patients who underwent total three-dimensional laparoscopic
pancreatoduodenectomy at the Second Hospital of Hebei Medical University from August 2015 to May
2016 were retrospectively analyzed. The surgical indications and method of performing total threedimensional laparoscopic pancreatoduodenectomy were similar to those of the patients who underwent
two-dimensional laparoscopic pancreatoduodenectomy. All of the patients were followed up via outpatient
reviews and telephone interviews through September 2016.
Results In all 28 cases, total three-dimensional laparoscopic pancreatoduodenectomy was successfully
performed with no conversion to laparotomy, intraoperative complications, or perioperative death. The
mean operative time was 406 min (200–520 min) with a mean blood loss of 528 mL (200–1500 mL), a
mean number of dissected lymph nodes of 11 (6–16), a mean postoperative anus exhaust time of 4.4 d (2–8
d), and a mean length of stay of 16.9 d (9–23 d). There was a postoperative pancreatic fistula in 4 out of
the 28 cases, with 3 cases of grade A and 1 case of grade B. Postoperatively, one patient with early-stage
intra-abdominal hemorrhage improved after conservative symptomatic treatment, and two patients with
gastroplegia were cured with conservative treatment. No complications occurred in the other patients. All of
the cases underwent R0 resection with a negative surgical margin. All of the 28 patients were followed up
for 6 to 12 months, with a median follow-up period of 9.2 months. During the follow-up period, there were
no postoperative complications related to the procedures and no deaths; tumor recurrence was identified
9 months after the procedure using positron emission computed tomography (PECT) in one patient with
pancreatic ductal adenocarcinoma.
Conclusion Total three-dimensional laparoscopic pancreatoduodenectomy is safe and feasible for the
treatment of periampullary carcinoma, with the advantage of favorable short-term outcomes. |
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