Total Laparoscopic Pancreaticoduodenectomy Feasibility and Outcome in an Early Experience

Thuan Nguyen, MD, Long Tran, MD, Bac Nguyen, PhD, Tuan Le Quan, MD

Division of Gastroenterologic and General Surgery, Department of Surgery, University Medical Center, Viet Nam

Background: Laparoscopic pancreaticoduodenectomy represents one of the most advanced applications for laparoscopic surgery currently in use. In the past, the minimally invasive techniques were only used for diagnostic laparoscopy to evaluate periampullary malignancies, staging of pancreatic cancer, and palliative procedures for unresectable pancreatic cancer.
Despite its first description by Gagner in 1994, there has not been wide acceptance of the procedure to date. Our aim was to describe the feasibility and outcome of total laparoscopic pancreaticoduodenectomy (TLPD) at a single institution.

Methods: This study included 13 patients who underwent TLPD between 7/2011 and 7/2011. After laparoscopic resection, an end-to-side pancreaticojejunostomy, an end-to-side hepaticojejunostomy, and an end-to-side duodenojejunostomy in aproximal-to-distal manner, were performed intracorporeally. Clinical variables, such operation time, blood loss, surgical technique and complication.

Result: There were 13 patients in this study. All of patients underwent TLPD. The mean age was 62, mean operation time : 380 min, mean blood loss: 150 ml. The mean hospital stay was 7,8 days. Conversion rate was 0%, pancreatic fistula was seen in once patient. Overall mortality rate was 0%.

Conclusions: The results of current study suggest that Laparoscopic pancreaticoduodenectomy is feasible, safe, and effective. Experience in pancreatic resection and possession of advanced laparoscopic skills are recommended prerequisites If patients are selected properly has low mortality and acceptable rates of complications.

Session: Poster Presentation

Program Number: P321

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