Laparoscopic assisted duodenopancreatectomy.

In the past few years, minimally invasive therapy for pancreatic diseases has made significant strides but the role of laparoscopic pancreaticoduodenectomy is still controversial.
Four patients with a mean age of 44 +/- 11 years were chosen for a laparoscopic pancreaticoduodenectomy. Pathological diagnoses were ductal adenocarcinoma in one, neuroendocrine tumor in two, and metastatic malignant melanoma in one.
The procedure was laparoscopically completed in all with a mean operating time, blood loss, and hospital stay of 416 +/- 77 min, 325 +/- 50 ml, and 12 +/- 2 days, respectively. There were no complications attributable to this surgery and there were no deaths. The average number of dissected lymph nodes was 26 +/- 17 (range 16-47). All the patients remained well at a median follow-up of 4.5 months (range 1-10).
It can be inferred from this small but successful experience that laparoscopic pancreaticoduodenectomy can be considered for the treatment of tumors of the pancreas or periampullary region.
AuthorsC Staudacher, E Orsenigo, P Baccari, S Di Palo, S Crippa
JournalSurgical endoscopy (Surg Endosc) Vol. 19 Issue 3 Pg. 352-6 (Mar 2005) ISSN: 1432-2218 [Electronic] Germany
PMID15627172 (Publication Type: Journal Article)
  • Adult
  • Female
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Pancreatic Neoplasms (surgery)
  • Pancreaticoduodenectomy (methods)

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