Laparoscopic Assisted Pancreaticoduodenectomy: Feasibility and Outcome Study

Raymund Andrew G Ong, MD FPCS FPALES, Winston S Vequilla, MD DPBS, Jeremy J Tan, MD. Department of Surgery, FEU-NRMF Medical Center, Philippines


OBJECTIVE: To assess the feasibility of laparoscopic pancreaticoduodenectomy in patients with pancreatic tumor performed by the same surgical team.
METHOD: A consecutive series of patients affected by solid and cystic tumors were selected prospectively to undergo laparoscopic pancreaticoduodenectomy performed by the same surgical team. Main outcome measures are the following: blood loss, operative time, postoperative morbidity, and length of hospital stay.
RESULTS: Three patients underwent laparoscopic resection for tumors of the head of the pancreas. All procedures were successfully performed laparoscopically, and no patient required intraoperative blood transfusion. There were no mortalities. The overall median hospital stay was 8 days, median operative time was 380 mins and overall median blood loss was 250 mL. Perioperative complication occurred only in one patient, which was pneumonia. No port-site recurrences were identified in any patient during the observation period.
CONCLUSION: Our experience with 5 consecutive patients proved that Laparoscopic Assisted Pancreaticoduodenectomy is feasible, safe and effective for preoperatively assessed resectable pancreatic tumors, and a one-stage option for patients requiring staging diagnostic laparoscopy. Outcomes are comparable with those via the open approach; however, controlled trials are needed.

Session Number: Poster – Poster Presentations
Program Number: P377
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