Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 XU Jin , XU Weixue , SUN Shaolong , ZHANG Xiaobo , XING Jian , LI He , ZHANG Weiming , WANG Hainan , YI Huicheng

Department of Pancreatic Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, P.R.China;

Corresponding author：

XU Jin, Email: xujinwang@163.com

Keywords：

laparoscope; pancreaticoduodenectomy; minimal invasive; periampullary carcinoma

DOI：

10.7507/1007-9424.201610022

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma. Method The clinical data of patients with periampullary carcinoma underwent laparoscopic pancreaticoduodenectomy from July 2016 to September 2016 in the Shengjing Hospital of China Medical University were analyzed retrospectively. Results Two patients underwent complete laparoscopic pancreaticoduodenectomy, 2 patients underwent laparoscopic resection and anastomosis assisted with small incision open. The R0 resection and duct to mucosa pancreaticojejunal anastomosis were performed in all the patients. The operative time was 510–600 min, intraoperative blood loss was 400–600 mL, postoperative hospitalization time was 15–21d, postoperative ambulation time was 6–7 d. Three cases of pancreatic fistula were grade A and all were cured by conservation. No postoperative bleeding, delayed gastric emptying, intra-abdominal infection, and bile leakage occurred. The postoperative pathological results showed that there was 1 case of pancreatic head ductal adenocarcinoma, 1 case of cyst adenocarcinoma of pancreas uncinate process, 1 case of papillary carcinoma of duodenum, and 1 case of terminal bile duct carcinoma. Conclusion The preliminary results of limited cases in this study show that laparoscopic pancreaticoduodenectomy has been proven to be a safe procedure, it could reduce perioperative cardiopulmonary complications, its exhaust time, feeding time, and postoperative ambulation time are shorter, but its operative complications could not be reduced.

Citation： XU Jin, XU Weixue, SUN Shaolong, ZHANG Xiaobo, XING Jian, LI He, ZHANG Weiming, WANG Hainan, YI Huicheng. Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(5): 615-618. doi: 10.7507/1007-9424.201610022 Copy

1.	Battal M, Yilmaz A, Ozturk G, et al. The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. J Minim Access Surg, 2016, 12(4): 338-341.
2.	Adam MA, Choudhury K, Dinan MA, et al. Minimally invasiveversus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7 061 patients. Ann Surg. 2015, 262(2): 372-377.
3.	Paniccia A, Schulick RD, Edil BH. Total laparoscopic pancreaticoduodenectomy: A single-institutional experience. Ann Surg Oncol, 2015, 22(13): 4380-4381.
4.	Tran TB, Dua MM, Worhunsky DJ, et al. The first decade of laparoscopic pancreaticoduodenectomy in the united states: costs and outcomes using the nationwide inpatient sample. Surg Endosc, 2016, 30(5): 1778-1783.
5.	鲁超, 金巍巍, 牟一平, 等. 腹腔镜胰十二指肠切除术的学习曲线. 外科理论与实践, 2015, 20(6): 485-489.
6.	林浩铭, 李国林, 常瑞明, 等. 动脉入路腹腔镜胰十二指肠切除 19 例报道. 中国普外基础与临床杂志, 2014, 21(10): 1237-1240.
7.	孙跃明, 苗毅. 腹腔镜胰十二指肠切除术应用及其评价. 中国实用外科杂志, 2010, 30(3): 190-192.
8.	洪德飞, 张宇华, 张成武, 等. 腔镜胰十二指肠切除术在壶腹周围癌中的应用. 中国普外基础与临床杂志, 2016, 23(4): 393-397.
9.	张华, 王明俊, 王昕, 等. 腹腔镜胰十二指肠切除术 45 例体会. 中国普外基础与临床杂志, 2014, 21(8): 940-945.
10.	李敬东, 李勇, 冷政伟, 等. 缩短腹腔镜胰十二指肠切除术学习曲线的经验. 中国普外基础与临床杂志, 2016, 23(4): 398-402.
11.	Torres OJ, Moraes Junior JM, Moraes AM, et al. Performance of laparoscopic pancreatoduodenectomy for solid pseudopapillary tumor of pancreas. Am J Case Rep, 2016, 17: 894-898.
12.	Fan Y, Zhao Y, Pang L, et al. Successful experience of laparoscopic pancreaticoduodenectomy and digestive tract reconstruction with minimized complications rate by 14 case reports. Medicine (Baltimore), 2016, 95(17): e3167.
13.	Asbun HJ, Harada E, Stauffer JA. Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci, 2016, 23(3): E5-E9.
14.	Wang XM, Sun WD, Hu MH, et al. Inferoposterior duodenal approach for laparoscopic pancreaticoduodenectomy. World J Gastroenterol, 2016, 22(6): 2142-2148.
15.	金巍巍, 徐晓武, 牟一平, 等. 腹腔镜胰十二指肠切除术 66 例初步经验总结. 中华外科杂志, 2016, 54(2): 84-88.
16.	Fong ZV, Chang DC, Ferrone CR, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: is this really a short learning curve? J Am Coll Surg, 2016, 222(2): 209.
17.	Kim EY, Hong TH. Total laparoscopic pancreaticoduodenectomy using a new technique of pancreaticojejunostomy with two transpancreatic sutures with buttresses. J Laparoendosc Adv Surg Tech A, 2016, 26(2): 133-139.
18.	Palanisamy S, Deuri B, Naidu SB, et al. Major venous resection and reconstruction using a minimally invasive approach during laparoscopicpancreaticoduodenectomy: One step forward. Asian J Endosc Surg, 2015, 8(4): 468-472.
19.	Dokmak S, Aussilhou B, Ftériche FS, et al. Laparoscopic pancreaticoduodenectomy: How I do it? (with video). J Visc Surg, 2015, 152(6): 393-394.
20.	Pittau G, Sànchez-Cabùs S, Laurenzi A, et al. Laparoscopic pancreaticoduodenectomy: right posterior superior mesenteric artery " first” approach. Ann Surg Oncol, 2015, 22 Suppl 3: S345-S348.
21.	Tee MC, Kendrick ML, Farnell MB. Laparoscopic pancreaticoduodenectomy: is it an effective procedure for pancreatic ductal adenocarcinoma? Adv Surg, 2015, 49: 143-156.
22.	Tee MC, Croome KP, Shubert CR, et al. Laparoscopic pancreatoduodenectomy does not completely mitigate increased perioperative risks in elderly patients. HPB (Oxford), 2015, 17(10): 909-918.
23.	Harrell KN, Kooby DA. Laparoscopic pancreatic resection. Minerva Chir, 2015, 70(5): 355-364.

1. Battal M, Yilmaz A, Ozturk G, et al. The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. J Minim Access Surg, 2016, 12(4): 338-341.
2. Adam MA, Choudhury K, Dinan MA, et al. Minimally invasiveversus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7 061 patients. Ann Surg. 2015, 262(2): 372-377.
3. Paniccia A, Schulick RD, Edil BH. Total laparoscopic pancreaticoduodenectomy: A single-institutional experience. Ann Surg Oncol, 2015, 22(13): 4380-4381.
4. Tran TB, Dua MM, Worhunsky DJ, et al. The first decade of laparoscopic pancreaticoduodenectomy in the united states: costs and outcomes using the nationwide inpatient sample. Surg Endosc, 2016, 30(5): 1778-1783.
5. 鲁超, 金巍巍, 牟一平, 等. 腹腔镜胰十二指肠切除术的学习曲线. 外科理论与实践, 2015, 20(6): 485-489.
6. 林浩铭, 李国林, 常瑞明, 等. 动脉入路腹腔镜胰十二指肠切除 19 例报道. 中国普外基础与临床杂志, 2014, 21(10): 1237-1240.
7. 孙跃明, 苗毅. 腹腔镜胰十二指肠切除术应用及其评价. 中国实用外科杂志, 2010, 30(3): 190-192.
8. 洪德飞, 张宇华, 张成武, 等. 腔镜胰十二指肠切除术在壶腹周围癌中的应用. 中国普外基础与临床杂志, 2016, 23(4): 393-397.
9. 张华, 王明俊, 王昕, 等. 腹腔镜胰十二指肠切除术 45 例体会. 中国普外基础与临床杂志, 2014, 21(8): 940-945.
10. 李敬东, 李勇, 冷政伟, 等. 缩短腹腔镜胰十二指肠切除术学习曲线的经验. 中国普外基础与临床杂志, 2016, 23(4): 398-402.
11. Torres OJ, Moraes Junior JM, Moraes AM, et al. Performance of laparoscopic pancreatoduodenectomy for solid pseudopapillary tumor of pancreas. Am J Case Rep, 2016, 17: 894-898.
12. Fan Y, Zhao Y, Pang L, et al. Successful experience of laparoscopic pancreaticoduodenectomy and digestive tract reconstruction with minimized complications rate by 14 case reports. Medicine (Baltimore), 2016, 95(17): e3167.
13. Asbun HJ, Harada E, Stauffer JA. Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci, 2016, 23(3): E5-E9.
14. Wang XM, Sun WD, Hu MH, et al. Inferoposterior duodenal approach for laparoscopic pancreaticoduodenectomy. World J Gastroenterol, 2016, 22(6): 2142-2148.
15. 金巍巍, 徐晓武, 牟一平, 等. 腹腔镜胰十二指肠切除术 66 例初步经验总结. 中华外科杂志, 2016, 54(2): 84-88.
16. Fong ZV, Chang DC, Ferrone CR, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: is this really a short learning curve? J Am Coll Surg, 2016, 222(2): 209.
17. Kim EY, Hong TH. Total laparoscopic pancreaticoduodenectomy using a new technique of pancreaticojejunostomy with two transpancreatic sutures with buttresses. J Laparoendosc Adv Surg Tech A, 2016, 26(2): 133-139.
18. Palanisamy S, Deuri B, Naidu SB, et al. Major venous resection and reconstruction using a minimally invasive approach during laparoscopicpancreaticoduodenectomy: One step forward. Asian J Endosc Surg, 2015, 8(4): 468-472.
19. Dokmak S, Aussilhou B, Ftériche FS, et al. Laparoscopic pancreaticoduodenectomy: How I do it? (with video). J Visc Surg, 2015, 152(6): 393-394.
20. Pittau G, Sànchez-Cabùs S, Laurenzi A, et al. Laparoscopic pancreaticoduodenectomy: right posterior superior mesenteric artery " first” approach. Ann Surg Oncol, 2015, 22 Suppl 3: S345-S348.
21. Tee MC, Kendrick ML, Farnell MB. Laparoscopic pancreaticoduodenectomy: is it an effective procedure for pancreatic ductal adenocarcinoma? Adv Surg, 2015, 49: 143-156.
22. Tee MC, Croome KP, Shubert CR, et al. Laparoscopic pancreatoduodenectomy does not completely mitigate increased perioperative risks in elderly patients. HPB (Oxford), 2015, 17(10): 909-918.
23. Harrell KN, Kooby DA. Laparoscopic pancreatic resection. Minerva Chir, 2015, 70(5): 355-364.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases)

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