The evaluation of laparoscopic pancreaticoduodenectomy with programmed process

doi:10.3877/cma.j.issn.1674-6899.2018.02.006

Abstract

Abstract:

Objective

To evaluate the safety and availability of laparoscopic pancreaticoduodenectomy following programmamed process.

Methods

100 cases undergone laparoscopic pancreaticoduodenectomy in Sun Yet-sen Memorial Hospital from Jan. 2016 to Dec. 2017 with complete clinical data were collected. Several indicators of perioperative period were analyzed between the experimental group (50 cases with programmed process) and the control group(50 cases without programmed process).

Results

There was no significant difference in preoperative data between the experimental group and the control group(P> 0.05). Compared with the control group, the operative time in experimental group was significantly shorter [(256.4 ± 50.64)min vs (298.5 ± 87.23)min], the amount of bleeding was significantly reduced [(84.5 ± 32.82)ml vs ( 218.9 ± 88.73)ml] (P< 0.05), and the occurrence of postoperative morbidity and postoperative hospitalization time were no statistically significant differences(P> 0.05).

Conclusions

Followed accurate preoperative evaluation, procedural procedure of laparoscopic pancreaticoduodenectomy is feasible, which can shorten operation time obviously, and the short-term therapeutic effect is good.

Key words: Laparoscopic surgery, Pancreatoduodenectomy, Programmed process

Guolin Li, Qing Lin, Shangyou Zheng, Quanbo Zhou, Rufu Chen. The evaluation of laparoscopic pancreaticoduodenectomy with programmed process[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(02): 85-89.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2018.02.006

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2018/V11/I02/85

Figures/Tables 6

References 16

[1]	Gagner M, Pomp A. Laparoscopic pylorus－preserving pancreatoduodenectomy[J]. Surgical Endoscopy, 1994, 8(5): 408-410.
[2]	卢榜裕，陆文奇，蔡小勇，等. 腹腔镜胰十二指肠切除治疗十二指肠乳头癌一例报告[J]. 中国微创外科杂志，2003, 3(3)：197-198.
[3]	吴祥虎，朱峰，王敏，等. 腹腔镜胰十二指肠切除术的安全性和有效性研究[J/CD]. 中华腔镜外科杂志(电子版), 2015，8(1)：8-11.
[4]	Al－Taan OS, Stephenson JA, Briggs C, et al. Laparoscopic pancreatic surgery: a review of present results and future prospects[J]. HPB, 2010, 12(4): 239-243.
[5]	Tee MC, Kendrick ML, Farnell MB. Laparoscopic pancreaticoduodenectomy: is it an effective procedure for pancreatic ductal adenocarcinoma[J]. Advances in Surgery, 2015, 49(1): 143-156.
[6]	中华医学会外科学分会胰腺外科学组. 腹腔镜胰十二指肠切除手术专家共识(附：手术流程与主要步骤)[J]. 中华外科杂志，2017, 55(5)：335-339.
[7]	Croome KP, Farnell MB, Que FG, et al. Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches[J]. Journal of Gastrointestinal Surgery Official Journal of the Society for Surgery of the Alimentary Tract, 2015, 19(1): 189-194.
[8]	Hartwig W, Gluth A, Hinz U, et al. Outcomes after extended pancreatectomy in patients with borderline resectable and locally advanced pancreatic cancer[J]. British Journal of Surgery, 2016, 103(12): 1683-1694.
[9]	Kang MJ, Jang JY, Kim SW. Surgical resection of pancreatic head cancer: what is the optimal extent of surgery[J]. Cancer Letters, 2016, 382(2): 259-265.
[10]	Jang JY, Kang JS, Han Y, et al. Long－term outcomes and recurrence patterns of standard versus extended pancreatectomy for pancreatic head cancer: a multicenter prospective randomized controlled study[J]. Journal of hepato－biliary－pancreatic sciences, 2017, 24(7): 426-433.
[11]	Merkow J, Paniccia A, Edil BH. Laparoscopic pancreaticoduodenectomy: a descriptive and comparative review[J]. Chinese Journal of Cancer Research, 2015, 27(4): 368-375.
[12]	Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review[J]. Surgical Endoscopy & Other Interventional Techniques, 2015, 29(1): 9-23.
[13]	Coppola A, Stauffer JA, Asbun HJ. Laparoscopic pancreatoduodenectomy: current status and future directions[J]. Updates in Surgery, 2016, 68(3): 217-224.
[14]	Wang M, Cai H, Meng L, et al. Minimally invasive pancreaticoduodenectomy: a comprehensive review[J]. International Journal of Surgery, 2016, 35(1): 139-146.
[15]	Duan X, Jiang B, Zhou L, et al. Laparoscopic pancreaticoduodenectomy: a single team preliminary experience[J]. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2017, 27(5): 356-360.
[16]	Maher H, Jin W, Mou Y, et al. The prospective of laparoscopic pancreaticoduodenectomy for cancer management[J]. Chinese Clinical Oncology, 2017, 6(1): 8-8.

组别	例数	性别(例)		年龄(岁， ±s)	体质量指数(kg/m²， ±s)	糖尿病(例)		腹部手术史(例)
组别	例数	男性	女性	年龄(岁， ±s)	体质量指数(kg/m²， ±s)	有	无	有	无
试验组	50	30	20	64.16 ± 12.62	20.5 ± 4.61	12	38	3	47
对照组	50	27	23	60.42 ± 10.10	22.5 ± 9.33	15	35	4	46
统计值	?	0.367		1.636	1.359	0.457		< 0.000
P值	?	0.544		0.105	0.177	0.499		1.000

组别	例数	性别(例)		年龄(岁， ±s)	体质量指数(kg/m²， ±s)	糖尿病(例)		腹部手术史(例)
组别	例数	男性	女性	年龄(岁， ±s)	体质量指数(kg/m²， ±s)	有	无	有	无
试验组	50	30	20	64.16 ± 12.62	20.5 ± 4.61	12	38	3	47
对照组	50	27	23	60.42 ± 10.10	22.5 ± 9.33	15	35	4	46
统计值	?	0.367		1.636	1.359	0.457		< 0.000
P值	?	0.544		0.105	0.177	0.499		1.000

组别	例数	手术时间(min)	术中出血量(ml)	术后住院时间(d)
试验组	50	256.4 ± 50.64	84.50 ± 32.82	12.3± 6.62
对照组	50	298.5 ± 87.23	218.9 ± 88.73	13.5± 8.64
统计值	?	2.951	10.050	0.780
P值	?	0.004	<0.000	0.438

组别	例数	手术时间(min)	术中出血量(ml)	术后住院时间(d)
试验组	50	256.4 ± 50.64	84.50 ± 32.82	12.3± 6.62
对照组	50	298.5 ± 87.23	218.9 ± 88.73	13.5± 8.64
统计值	?	2.951	10.050	0.780
P值	?	0.004	<0.000	0.438

组别	例数	胰漏			胆漏	胃瘫	腹腔感染	腹腔出血	消化道出血
组别	例数	生化漏	B级漏	C级漏	胆漏	胃瘫	腹腔感染	腹腔出血	消化道出血
试验组	50	10	4	0	2	3	4	0	2
对照组	50	16	33	0	2	2	6	1	1
统计值	?	1.901			< 0.000	< 0.000	0.444	< 0.000	< 0.000
P值	?	0.387			1.000	1.000	0.505	1.000	1.000

Please choose a citation manager

Content to export