Laparoscopic Pancreaticoduodenectomy for Periampullary Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HONGDe-fei , ZHANGYu-hua , ZHANGCheng-wu , SUNXiao-dong , WUWei-ding , WANGZhi-fei , SHENGuo-liang , CHENGJian

Department of Hepatobiliary Pancreatic & Minimal Invasive Surgery, Zhejiang Provincial People's Hospital, Hangzhou 310014, Zhejiang Province, China;

Corresponding author：

Keywords：

Laparoscopic; Da Vinci robot; Pancreaticoduodenectomy; Periampullary carcinoma

DOI：

10.7507/1007-9424.20160105

Video：

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Objective To investigate the role of laparoscopic pancreaticoduodenectomy (LPD) for periampullary carcinoma. Methods This is a retrospective review of all periampullary carcinomas consecutively performed between January 2013 and January 2016 in Zhejiang Provincial People's Hospital. Results Fifty-one patients underwent LPD. Conversion to open procedure was required in three cases. The operative time was (370±104) min, The estimated blood loss was (220.7±180.9) mL. Five cases had binding pancreaticogastric anastomosis, the other patients underwent duct to mucosa pancreaticojejunal anastomosis. Post operatively hospital stay was (14.6±11.2) days. The represented morbidity including pancreatic fistula (9 cases), postoperative intraperitoneal bleeding (2 cases), postoperative gastrointestinal bleeding (2 cases), delayed gastric emptying (4 cases), and bile leakage (4 cases). All patients underwent R0 resection. Postoperative pathological results: pancreatic adenocarcinoma: 28 cases, duodenal papillary adenocarcinoma: 12 cases, common bile duct adenocarcinoma: 11 cases. Conciusions LPD has been proven to be a safe procedure. Our LPD approach can improve the effectiveness of lymphadenectomy. It combined with resection of portal vein can improve the R0 resection rate of periampullary adenocarcinoma and is associated with better survival of those patients.

Citation： HONGDe-fei, ZHANGYu-hua, ZHANGCheng-wu, SUNXiao-dong, WUWei-ding, WANGZhi-fei, SHENGuo-liang, CHENGJian. Laparoscopic Pancreaticoduodenectomy for Periampullary Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 393-397. doi: 10.7507/1007-9424.20160105 Copy

1.	Chalikonda S, Aguilar-Saavedra JR, Walsh RM.Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc, 2012, 26(9): 2397-2402.
2.	Chen S, Chen JZ, Zhan Q, et al. Robot-assisted laparoscopic versus open pancreaticoduodenectomy: a prospective, matched, mid-term follow-up study. Surg Endosc, 2015, 29(12): 3698-3711.
3.	Croome KP, Farnell MB, Que FG, et al.Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg, 2014, 260(4): 633-638, discussion 638-640.
4.	Palanivelu C, Rajan PS, Rangarajan M, et al.Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg, 2009, 16(6): 731-740.
5.	Song KB, Kim SC, Hwang DW, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving pancreaticoduodenectomy in patients with periampullary tumors. Ann Surg, 2015, 262(1): 146-155.
6.	Wang M, Zhang H, Wu Z, et al. Laparoscopic pancreaticoduodenectomy: single-surgeon experience. Surg Endosc, 2015, 29(12): 3783-3794.
7.	Zureikat AH, Nguyen KT, Bartlett DL, et al. Robotic-assisted major pancreatic resection and reconstruction. Arch Surg, 2011, 146(3): 256-261.
8.	Dokmak S, Ftériche FS, Aussilhou B, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. J Am Coll Surg, 2015, 220(5): 831-838.
9.	Sharpe SM, Talamonti MS, Wang CE, et al. Early National experience with laparoscopic pancreaticoduodenectomy ford uctal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the national cancer data base. J Am Coll Surg, 2015, 221(1): 175-184.
10.	洪德飞.腹腔镜、达芬奇机器人胰消化道重建的策略和技术.中国实用外科杂志, 2015, 35(8): 898-900.
11.	洪德飞.胰十二指肠切除术.北京:人民卫生出版社, 2014:.
12.	张宇华, 洪德飞.微创胰十二指肠切除术:从腹腔镜到达芬奇机器人手术系统.中华消化外科杂志, 2015, 14(11): 980-982.
13.	Rozner MA. The American Society of Anesthesiologists physical status score and risk of perioperative infection. JAMA, 1996, 275 (20): 1544.
14.	Hong D, Liu Y, Peng S, et al. Binding pancreaticogastrostomy in laparoscopic central pancreatectomy: a novel technique in laparoscopic pancreatic surgery. Surg Endosc, 2016, 30(2): 715-720.
15.	Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
16.	Koch M, Garden OJ, Padbury R, et al.Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery, 2011, 149(5): 680-688.
17.	Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery, 2007, 142(1): 20-25.
18.	Wente MN, Bassi C, Dervenis C, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery, 2007, 142(5): 761-768.
19.	Dindo D, Demartines N, Clavien PA.Classification of surgical complications: a new proposal with evaluation in a cohort of 6 336 patients and results of a survey. Ann Surg, 2004. 240(2): 205-213.
20.	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, 2015 Aug 15. [Epub ahead of print].
21.	Al-Haddad M, Martin JK, Nguyen J, et al.Vascular resection and reconstruction for pancreatic malignancy: a single center survival study. J Gastrointest Surg, 2007, 11(9): 1168-1174.
22.	洪德飞, 刘颖斌, 彭淑牖, 等.如何提高胰头癌根治的彻底性和安全性.中华肝胆外科杂志, 2010, 16(2): 88-91.
23.	洪德飞, 彭淑牖.胰腺癌根治术联合血管切除术中血管切除的指征探讨.外科理论与实践, 2007, 12(3): 268-270.
24.	Kendrick ML, Sclabas GM. Major venous resection during total laparoscopic pancreaticoduodenectomy.HPB (Oxford), 2011, 13(7): 454-458.
25.	Giulianotti PC, Addeo P, Buchs NC, et al. Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas, 2011. 40(8): 1264-1270.
26.	Croome KP, Farnel l MB, Que FG, et al.Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches. J Gastrointest Surg, 2015, 19(1): 189-194.

1. Chalikonda S, Aguilar-Saavedra JR, Walsh RM.Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc, 2012, 26(9): 2397-2402.
2. Chen S, Chen JZ, Zhan Q, et al. Robot-assisted laparoscopic versus open pancreaticoduodenectomy: a prospective, matched, mid-term follow-up study. Surg Endosc, 2015, 29(12): 3698-3711.
3. Croome KP, Farnell MB, Que FG, et al.Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg, 2014, 260(4): 633-638, discussion 638-640.
4. Palanivelu C, Rajan PS, Rangarajan M, et al.Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center. J Hepatobiliary Pancreat Surg, 2009, 16(6): 731-740.
5. Song KB, Kim SC, Hwang DW, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving pancreaticoduodenectomy in patients with periampullary tumors. Ann Surg, 2015, 262(1): 146-155.
6. Wang M, Zhang H, Wu Z, et al. Laparoscopic pancreaticoduodenectomy: single-surgeon experience. Surg Endosc, 2015, 29(12): 3783-3794.
7. Zureikat AH, Nguyen KT, Bartlett DL, et al. Robotic-assisted major pancreatic resection and reconstruction. Arch Surg, 2011, 146(3): 256-261.
8. Dokmak S, Ftériche FS, Aussilhou B, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. J Am Coll Surg, 2015, 220(5): 831-838.
9. Sharpe SM, Talamonti MS, Wang CE, et al. Early National experience with laparoscopic pancreaticoduodenectomy ford uctal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the national cancer data base. J Am Coll Surg, 2015, 221(1): 175-184.
10. 洪德飞.腹腔镜、达芬奇机器人胰消化道重建的策略和技术.中国实用外科杂志, 2015, 35(8): 898-900.
11. 洪德飞.胰十二指肠切除术.北京:人民卫生出版社, 2014:.
12. 张宇华, 洪德飞.微创胰十二指肠切除术:从腹腔镜到达芬奇机器人手术系统.中华消化外科杂志, 2015, 14(11): 980-982.
13. Rozner MA. The American Society of Anesthesiologists physical status score and risk of perioperative infection. JAMA, 1996, 275 (20): 1544.
14. Hong D, Liu Y, Peng S, et al. Binding pancreaticogastrostomy in laparoscopic central pancreatectomy: a novel technique in laparoscopic pancreatic surgery. Surg Endosc, 2016, 30(2): 715-720.
15. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
16. Koch M, Garden OJ, Padbury R, et al.Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery, 2011, 149(5): 680-688.
17. Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery, 2007, 142(1): 20-25.
18. Wente MN, Bassi C, Dervenis C, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery, 2007, 142(5): 761-768.
19. Dindo D, Demartines N, Clavien PA.Classification of surgical complications: a new proposal with evaluation in a cohort of 6 336 patients and results of a survey. Ann Surg, 2004. 240(2): 205-213.
20. 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, 2015 Aug 15. [Epub ahead of print].
21. Al-Haddad M, Martin JK, Nguyen J, et al.Vascular resection and reconstruction for pancreatic malignancy: a single center survival study. J Gastrointest Surg, 2007, 11(9): 1168-1174.
22. 洪德飞, 刘颖斌, 彭淑牖, 等.如何提高胰头癌根治的彻底性和安全性.中华肝胆外科杂志, 2010, 16(2): 88-91.
23. 洪德飞, 彭淑牖.胰腺癌根治术联合血管切除术中血管切除的指征探讨.外科理论与实践, 2007, 12(3): 268-270.
24. Kendrick ML, Sclabas GM. Major venous resection during total laparoscopic pancreaticoduodenectomy.HPB (Oxford), 2011, 13(7): 454-458.
25. Giulianotti PC, Addeo P, Buchs NC, et al. Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas, 2011. 40(8): 1264-1270.
26. Croome KP, Farnel l MB, Que FG, et al.Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches. J Gastrointest Surg, 2015, 19(1): 189-194.

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Laparoscopic Pancreaticoduodenectomy for Periampullary Carcinoma

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