Weiwei Jin, MD1, Chao Lu, MS2, Yiping Mou, MD, FACS2, Yucheng Zhou, MS2, Chaojie Huang, MS2. 1Zhejiang Univerisity School of Medicin, Zhejiang Provincial People’s Hosptial, 2Zhejiang Provincial People’s Hosptial
Background: laparoscopic pancreaticoduodenectomy (LPD) has increasingly performed in some high volume centers. However, whether it is suitable for pancreatic cancer is still uncertain. This study is to evaluate the safety, feasibility and short-term oncologic outcomes of LPD for pancreatic cancer.
Methods: Prospective data of people with intent-to-do LPD from July 2013 to January 2016 were reviewed. Of the total 153 cases, perioperative outcomes and oncologic outcomes of 47 intent-to-do LPDs performed for pancreatic cancer were analyzed.
Results: In total 47 cases, there were 36 males and 11 females. The average age was (62.9± 10.1) years, and BMI was (22.54± 2.8 ) kg/m2. There were 7 patients with upper abdominal surgical history, and two of them underwent laparoscopic distal pancreatectomy and laparoscopic gastroenteric bypass respectively. Total 7 cases were converted to open surgery and 1 case was performed with laparoscopic total pancreatectomy. The average operative time was (388.1±57.1) minutes and the blood loss was (253.2± 208.1). The total complication rate was 38.3% (18/47), with 10.6% (5/47) of pancreatic fistula grade B, 12.8%(6/47) of alimentary tract bleeding, 4.2%(2/47) of bile leakage, 8.5% (4/47) of pulmonary infection, 2.1%(1/47) of surgical incision dehiscence. The postoperative stay was (17.1± 10.9) days and there was no 90-day mortality. The tumor size was (3.5± 0.9) cm and the number of harvested lymph nodes was (19.8±10.8). The overall survival was 60.1% and the median survival was 22 months.
Conclusions: laparoscopic pancreaticoduodenectomy is safe, feasible and has the acceptable oncologic outcomes for pancreatic cancer.
Keywords: pancreatic cancer; laparoscopic surgery, pancreaticoduodenectomy; oncologic outcomes
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79912
Program Number: P474
Presentation Session: Poster (Non CME)
Presentation Type: Poster
