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Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy

BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is gaining popularity in last decade. However, it is still technical challenging to perform LPD for patients with large periampullary tumors. METHODS: From January 2019 to January 2020, 13 cases of LPD were performed via anterior approach. Data...

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Autores principales: Cai, Yunqiang, Cai, He, Peng, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684156/
https://www.ncbi.nlm.nih.gov/pubmed/34922511
http://dx.doi.org/10.1186/s12893-021-01433-7
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author Cai, Yunqiang
Cai, He
Peng, Bing
author_facet Cai, Yunqiang
Cai, He
Peng, Bing
author_sort Cai, Yunqiang
collection PubMed
description BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is gaining popularity in last decade. However, it is still technical challenging to perform LPD for patients with large periampullary tumors. METHODS: From January 2019 to January 2020, 13 cases of LPD were performed via anterior approach. Data were collected prospectively in terms of demographic characteristics (age, gender, body mass index, pathological diagnosis and tumor size), intra-operative variables (operative time, estimated blood loss, transfusion), and post-operative variables (time for oral intake, post-operative hospital stay, and complications). RESULTS: There were five male patients and eight female patients included in this study. The median age of these patients was 52.7 ± 14.5 years. The median size of tumors was 7.2 ± 2.9 cm. One patient converted to open surgery because of uncontrollable hemorrhage. The median operative time was 356 ± 47 min. The median estimated blood loss was 325 ± 216 ml. The mean post-operative hospital stay was 12.4 ± 1.9 days. One patient suffered from grade B pancreatic fistula. One patient suffered from delayed gastric emptying which was cured by conservative therapy. 90-day mortality was zero. CONCLUSIONS: Laparoscopic pancreaticoduodenectomy via anterior approach is safe and feasible for patients with large periampullary tumors. Its oncological benefit requires further investigation.
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spelling pubmed-86841562021-12-20 Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy Cai, Yunqiang Cai, He Peng, Bing BMC Surg Research BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is gaining popularity in last decade. However, it is still technical challenging to perform LPD for patients with large periampullary tumors. METHODS: From January 2019 to January 2020, 13 cases of LPD were performed via anterior approach. Data were collected prospectively in terms of demographic characteristics (age, gender, body mass index, pathological diagnosis and tumor size), intra-operative variables (operative time, estimated blood loss, transfusion), and post-operative variables (time for oral intake, post-operative hospital stay, and complications). RESULTS: There were five male patients and eight female patients included in this study. The median age of these patients was 52.7 ± 14.5 years. The median size of tumors was 7.2 ± 2.9 cm. One patient converted to open surgery because of uncontrollable hemorrhage. The median operative time was 356 ± 47 min. The median estimated blood loss was 325 ± 216 ml. The mean post-operative hospital stay was 12.4 ± 1.9 days. One patient suffered from grade B pancreatic fistula. One patient suffered from delayed gastric emptying which was cured by conservative therapy. 90-day mortality was zero. CONCLUSIONS: Laparoscopic pancreaticoduodenectomy via anterior approach is safe and feasible for patients with large periampullary tumors. Its oncological benefit requires further investigation. BioMed Central 2021-12-18 /pmc/articles/PMC8684156/ /pubmed/34922511 http://dx.doi.org/10.1186/s12893-021-01433-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cai, Yunqiang
Cai, He
Peng, Bing
Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title_full Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title_fullStr Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title_full_unstemmed Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title_short Anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
title_sort anterior approach in situ resection for total laparoscopic pancreaticoduodenectomy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684156/
https://www.ncbi.nlm.nih.gov/pubmed/34922511
http://dx.doi.org/10.1186/s12893-021-01433-7
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