Yunqiang Cai, Bing Peng, MD. West China Hospital, Sichuan University
Background: Laparoscopic pancreaticoduodenectomy is safe and feasible for periampullary tumors. However, it is technical challenging to perform laparoscopic pancreaticoduodenectomy with major vascular resection and reconstruction.
Methods and Materials: From November 2015 to August 2017, 32 patients were performed laparoscopic pancreaticoduodenectomy with major vascular resection and reconstruction by a single operative team. Data in term of demographic characteristics, intra-operative and post-operative variables, and follow-up outcomes were prospectively collected.
Outcomes: There were 13 male and 19 female patients in our series. The median age was 63 years. Fifteen cases of wage resections, eight cases of end-to-end anastomosis and nine cases of artificial grafts were performed in our series. Only one patient (5.6%) required conversion due to uncontrolled bleeding from splenic vein. The average operative time was 458 min. The mean time for blood occlusion was 28 min, including 13 min for wage resections, 22 min for end to end anastomosis and 39 min for artificial grafts, respectively. There was no 30-days mortality in our series. The mean post-operative hospital stay was 13 days. The overall morbidity is 28.1%, including 5 cases of Grade A pancreatic fistula, 2 cases of bleeding, 1 case of thrombosis, and 1 case of abdominal abscess.
Conclusion: It is safe and feasible to perform laparoscopic pancreaticoduodenectomy with major vessels resection and reconstruction in well-selected patients.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86160
Program Number: S060
Presentation Session: Liver/Pancreas Session
Presentation Type: Podium