Meng Lingwei, Wang Mingjun, Peng Bing, Cai He, Li Yongbin, Cai Yunqiang. Department of Pancreatic Surgery, West China Hospital, Sichuan University
AIM: The purpose of this article is to describe and illustrate the surgical complications after Laparoscopic Pancreaticoduodenectomy (LPD), and share our center‘s experience.
METHODS: There were 80 patients who underwent laparoscopic pancreatoduodenectomy by a single surgeon at the Department of Pancreatic Surgery, West China Hospital, Sichuan University, China, from September 2010 to October 2015. After applying the exclusion criteria, a total of 72 patients were included for analyses, we retrospectively collected and analyzed the clinical data of them, which included preoperative, intraoperative, and postoperative variables.
RESULTS: Of all the 72 patients, the mean age was 58.6±12.2 years old. Twenty-nine patients were female while 43 male. Ten patients needed intraoperative blood transfusion intraoperative time. Seven patients need re-operation within 30-day following LPD. The median operative time was 480.0min (IQR 420.0min-520.0min), and the median estimated intraoperative blood loss was 200.0ml (IQR 150.0ml-300.0ml). Based on the Clavien-Dindo classification, there were 28 (38.89 %) cases of grades I–II, ten (13.89 %) cases of grades III–IV, and 2 (2.78%) cases of grade V postoperative complications. The total morbidity was 55.5%, and the postoperative 30-day mortality was 2.78%.
CONCLUSION: LPD, including laparoscopic pylorus-preserving pancreaticoduodenectomy (LPPPD), although associating with various severe complications, is a safe and feasible procedure, but should be performed by experienced and highly skillful surgeons.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78824
Program Number: P586
Presentation Session: Poster (Non CME)
Presentation Type: Poster
