Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 XU Jin , XU Weixue , SUN Shaolong , ZHANG Xiaobo , XING Jian , LI He , ZHANG Weiming , WANG Hainan , YI Huicheng

Department of Pancreatic Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, P.R.China;

Corresponding?author：

XU Jin, Email: xujinwang@163.com

Keywords：

laparoscope; pancreaticoduodenectomy; minimal invasive; periampullary carcinoma

DOI：

10.7507/1007-9424.201610022

Video：

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Objective To summarize preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma. Method The clinical data of patients with periampullary carcinoma underwent laparoscopic pancreaticoduodenectomy from July 2016 to September 2016 in the Shengjing Hospital of China Medical University were analyzed retrospectively. Results Two patients underwent complete laparoscopic pancreaticoduodenectomy, 2 patients underwent laparoscopic resection and anastomosis assisted with small incision open. The R0 resection and duct to mucosa pancreaticojejunal anastomosis were performed in all the patients. The operative time was 510–600 min, intraoperative blood loss was 400–600 mL, postoperative hospitalization time was 15–21d, postoperative ambulation time was 6–7 d. Three cases of pancreatic fistula were grade A and all were cured by conservation. No postoperative bleeding, delayed gastric emptying, intra-abdominal infection, and bile leakage occurred. The postoperative pathological results showed that there was 1 case of pancreatic head ductal adenocarcinoma, 1 case of cyst adenocarcinoma of pancreas uncinate process, 1 case of papillary carcinoma of duodenum, and 1 case of terminal bile duct carcinoma. Conclusion The preliminary results of limited cases in this study show that laparoscopic pancreaticoduodenectomy has been proven to be a safe procedure, it could reduce perioperative cardiopulmonary complications, its exhaust time, feeding time, and postoperative ambulation time are shorter, but its operative complications could not be reduced.

Citation： XU Jin, XU Weixue, SUN Shaolong, ZHANG Xiaobo, XING Jian, LI He, ZHANG Weiming, WANG Hainan, YI Huicheng. Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(5): 615-618. doi: 10.7507/1007-9424.201610022 Copy

1.	?Battal M, Yilmaz A, Ozturk G, et al. The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. J Minim Access Surg, 2016, 12(4): 338-341.
2.	Adam MA, Choudhury K, Dinan MA, et al. Minimally invasiveversus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7 061 patients. Ann Surg. 2015, 262(2): 372-377.
3.	Paniccia A, Schulick RD, Edil BH. Total laparoscopic pancreaticoduodenectomy: A single-institutional experience. Ann Surg Oncol, 2015, 22(13): 4380-4381.
4.	Tran TB, Dua MM, Worhunsky DJ, et al. The first decade of laparoscopic pancreaticoduodenectomy in the united states: costs and outcomes using the nationwide inpatient sample. Surg Endosc, 2016, 30(5): 1778-1783.
5.	魯超, 金巍巍, 牟一平, 等. 腹腔鏡胰十二指腸切除術的學習曲線. 外科理論與實踐, 2015, 20(6): 485-489.
6.	林浩銘, 李國林, 常瑞明, 等. 動脈入路腹腔鏡胰十二指腸切除 19 例報道. 中國普外基礎與臨床雜志, 2014, 21(10): 1237-1240.
7.	孫躍明, 苗毅. 腹腔鏡胰十二指腸切除術應用及其評價. 中國實用外科雜志, 2010, 30(3): 190-192.
8.	洪德飛, 張宇華, 張成武, 等. 腔鏡胰十二指腸切除術在壺腹周圍癌中的應用. 中國普外基礎與臨床雜志, 2016, 23(4): 393-397.
9.	張華, 王明俊, 王昕, 等. 腹腔鏡胰十二指腸切除術 45 例體會. 中國普外基礎與臨床雜志, 2014, 21(8): 940-945.
10.	李敬東, 李勇, 冷政偉, 等. 縮短腹腔鏡胰十二指腸切除術學習曲線的經驗. 中國普外基礎與臨床雜志, 2016, 23(4): 398-402.
11.	Torres OJ, Moraes Junior JM, Moraes AM, et al. Performance of laparoscopic pancreatoduodenectomy for solid pseudopapillary tumor of pancreas. Am J Case Rep, 2016, 17: 894-898.
12.	Fan Y, Zhao Y, Pang L, et al. Successful experience of laparoscopic pancreaticoduodenectomy and digestive tract reconstruction with minimized complications rate by 14 case reports. Medicine (Baltimore), 2016, 95(17): e3167.
13.	Asbun HJ, Harada E, Stauffer JA. Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci, 2016, 23(3): E5-E9.
14.	Wang XM, Sun WD, Hu MH, et al. Inferoposterior duodenal approach for laparoscopic pancreaticoduodenectomy. World J Gastroenterol, 2016, 22(6): 2142-2148.
15.	金巍巍, 徐曉武, 牟一平, 等. 腹腔鏡胰十二指腸切除術 66 例初步經驗總結. 中華外科雜志, 2016, 54(2): 84-88.
16.	Fong ZV, Chang DC, Ferrone CR, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: is this really a short learning curve? J Am Coll Surg, 2016, 222(2): 209.
17.	Kim EY, Hong TH. Total laparoscopic pancreaticoduodenectomy using a new technique of pancreaticojejunostomy with two transpancreatic sutures with buttresses. J Laparoendosc Adv Surg Tech A, 2016, 26(2): 133-139.
18.	Palanisamy S, Deuri B, Naidu SB, et al. Major venous resection and reconstruction using a minimally invasive approach during laparoscopicpancreaticoduodenectomy: One step forward. Asian J Endosc Surg, 2015, 8(4): 468-472.
19.	Dokmak S, Aussilhou B, Ftériche FS, et al. Laparoscopic pancreaticoduodenectomy: How I do it? (with video). J Visc Surg, 2015, 152(6): 393-394.
20.	Pittau G, Sànchez-Cabùs S, Laurenzi A, et al. Laparoscopic pancreaticoduodenectomy: right posterior superior mesenteric artery " first” approach. Ann Surg Oncol, 2015, 22 Suppl 3: S345-S348.
21.	Tee MC, Kendrick ML, Farnell MB. Laparoscopic pancreaticoduodenectomy: is it an effective procedure for pancreatic ductal adenocarcinoma? Adv Surg, 2015, 49: 143-156.
22.	Tee MC, Croome KP, Shubert CR, et al. Laparoscopic pancreatoduodenectomy does not completely mitigate increased perioperative risks in elderly patients. HPB (Oxford), 2015, 17(10): 909-918.
23.	Harrell KN, Kooby DA. Laparoscopic pancreatic resection. Minerva Chir, 2015, 70(5): 355-364.

1. ?Battal M, Yilmaz A, Ozturk G, et al. The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. J Minim Access Surg, 2016, 12(4): 338-341.
2. Adam MA, Choudhury K, Dinan MA, et al. Minimally invasiveversus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7 061 patients. Ann Surg. 2015, 262(2): 372-377.
3. Paniccia A, Schulick RD, Edil BH. Total laparoscopic pancreaticoduodenectomy: A single-institutional experience. Ann Surg Oncol, 2015, 22(13): 4380-4381.
4. Tran TB, Dua MM, Worhunsky DJ, et al. The first decade of laparoscopic pancreaticoduodenectomy in the united states: costs and outcomes using the nationwide inpatient sample. Surg Endosc, 2016, 30(5): 1778-1783.
5. 魯超, 金巍巍, 牟一平, 等. 腹腔鏡胰十二指腸切除術的學習曲線. 外科理論與實踐, 2015, 20(6): 485-489.
6. 林浩銘, 李國林, 常瑞明, 等. 動脈入路腹腔鏡胰十二指腸切除 19 例報道. 中國普外基礎與臨床雜志, 2014, 21(10): 1237-1240.
7. 孫躍明, 苗毅. 腹腔鏡胰十二指腸切除術應用及其評價. 中國實用外科雜志, 2010, 30(3): 190-192.
8. 洪德飛, 張宇華, 張成武, 等. 腔鏡胰十二指腸切除術在壺腹周圍癌中的應用. 中國普外基礎與臨床雜志, 2016, 23(4): 393-397.
9. 張華, 王明俊, 王昕, 等. 腹腔鏡胰十二指腸切除術 45 例體會. 中國普外基礎與臨床雜志, 2014, 21(8): 940-945.
10. 李敬東, 李勇, 冷政偉, 等. 縮短腹腔鏡胰十二指腸切除術學習曲線的經驗. 中國普外基礎與臨床雜志, 2016, 23(4): 398-402.
11. Torres OJ, Moraes Junior JM, Moraes AM, et al. Performance of laparoscopic pancreatoduodenectomy for solid pseudopapillary tumor of pancreas. Am J Case Rep, 2016, 17: 894-898.
12. Fan Y, Zhao Y, Pang L, et al. Successful experience of laparoscopic pancreaticoduodenectomy and digestive tract reconstruction with minimized complications rate by 14 case reports. Medicine (Baltimore), 2016, 95(17): e3167.
13. Asbun HJ, Harada E, Stauffer JA. Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci, 2016, 23(3): E5-E9.
14. Wang XM, Sun WD, Hu MH, et al. Inferoposterior duodenal approach for laparoscopic pancreaticoduodenectomy. World J Gastroenterol, 2016, 22(6): 2142-2148.
15. 金巍巍, 徐曉武, 牟一平, 等. 腹腔鏡胰十二指腸切除術 66 例初步經驗總結. 中華外科雜志, 2016, 54(2): 84-88.
16. Fong ZV, Chang DC, Ferrone CR, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: is this really a short learning curve? J Am Coll Surg, 2016, 222(2): 209.
17. Kim EY, Hong TH. Total laparoscopic pancreaticoduodenectomy using a new technique of pancreaticojejunostomy with two transpancreatic sutures with buttresses. J Laparoendosc Adv Surg Tech A, 2016, 26(2): 133-139.
18. Palanisamy S, Deuri B, Naidu SB, et al. Major venous resection and reconstruction using a minimally invasive approach during laparoscopicpancreaticoduodenectomy: One step forward. Asian J Endosc Surg, 2015, 8(4): 468-472.
19. Dokmak S, Aussilhou B, Ftériche FS, et al. Laparoscopic pancreaticoduodenectomy: How I do it? (with video). J Visc Surg, 2015, 152(6): 393-394.
20. Pittau G, Sànchez-Cabùs S, Laurenzi A, et al. Laparoscopic pancreaticoduodenectomy: right posterior superior mesenteric artery " first” approach. Ann Surg Oncol, 2015, 22 Suppl 3: S345-S348.
21. Tee MC, Kendrick ML, Farnell MB. Laparoscopic pancreaticoduodenectomy: is it an effective procedure for pancreatic ductal adenocarcinoma? Adv Surg, 2015, 49: 143-156.
22. Tee MC, Croome KP, Shubert CR, et al. Laparoscopic pancreatoduodenectomy does not completely mitigate increased perioperative risks in elderly patients. HPB (Oxford), 2015, 17(10): 909-918.
23. Harrell KN, Kooby DA. Laparoscopic pancreatic resection. Minerva Chir, 2015, 70(5): 355-364.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Preliminary experience of laparoscopic pancreaticoduodenectomy for periampullary carcinoma (report of 4 cases)

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