Complete Laparoscopic Pancreatoduodenectomy: our experience of first case.
Abstract
Laparoscopic pancreaticoduodenectomy was described in 1994. It is considered the most challengingabdominal surgery. Although the procedure was found to be feasible in initial reports, the benefits were notconsidered favorable. In recent days, with the increasing experience of surgeons, acceptable outcomes arebeing observed and have been found to be technically beneficial and oncologically safe in selective casesin experienced hands. We performed the procedure in a 42-year-old gentleman with good operative andpost-operative outcomes. The patient’s follow-up for six post-operative months seems satisfactory. Theoperation took 840 minutes with minimal blood loss. The resected specimen was adequate and satisfactoryfrom an oncological and technical point of view. The patient developed some inherent complications of theprocedure in the post-operative period. He recovered well. Details of the case and technical aspects arebeing discussed.References
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14. Poves I, Burdio F, Morato O, Iglesias M, Radosevic A, Ilzarbe L et al. Comparison of Perioperative outcomes Between Laparoscopic and Open Approach for Pancreatoduodenectomy: The PADULAP Randomized Controlled Trial. Ann Surg. 2018 Nov;268(5):731-739.
15. Van Hilst J, de Rooij T, Bosscha K, Brinkman DJ, van Dieren S, Dijkgraaf MG et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): a multicenter, patient-blinded, randomized controlled phase 2/3 trial. Lancet Gastroenterol Hepatol. 2019 Mar;4(3):199-207.
16. Ausania F, Landi F, Martinez-Perez A, Fondevila C. A meta-analysis of randomized controlled trials comparing laparoscopic vs open pancreatioduodenctomy. HPB(Oxford). 2019 Jun 25. Pii:S1365-182X(19)30567-2.
2. Khaimook A, Borkird J, Alapach S. The first successful laparoscopic Whipple procedure at Hat Yai Hospital: Surgical technique and a case report. J Med Assoc Thai. 2010 Sep;93(9):1098-102.
3. Kondo S, Tanaka T, Miyazaki M, Miyakawa S, Tsukada K, Nagino M et al. Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment. J Hepatobiliary Pancreat Surg. 2008 Jan; 15(1): 41–54.
4. Sha H, Qin X, Dai Z, Hong X, Xu K. Total laparoscopic pancreatoduodenectomy for duodenal papilla carcinoma. Biomedical Research 2016;27(4):1354-1358.
5. Shukla PJ, Maharaj R, Sakpal SV. Current status of laparoscopic surgery in gastrointestinal malignancies. Indian J Surg. 2008 Dec;70(6):261-4.
6. Ogiso S, Conrad C, Araki K, Basso V and Gayet B. Posterior approach for laparoscopic pancreaticoduodenectomy to prevent replaced hepatic artery injury. Ann Surg Oncol. 2013 Sep;20(9):3120.
7. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ, Nagorney DM et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg. 2014 Oct;260(4):633-8. Discussion 638-40.
8. De Rooij T, Lu MZ, Steen MW, Gerhards MF, Dijkgraaf MG, Busch OR et al. Minimally invasive versus open pancreatoduodenectomy: systemic review and meta-analysis of comparative cohort and registry studies. Ann Surg. 2016 Aug;264(2):257-67.
9. Gagner M, Palermo M. Laparoscopic Whipple procedure review of the literature. J Hepatobiliary Pancreat Surg. 2009;16(6):726-30.
10. Gumbs AA, Rivera AMR, Milone L. Laparoscopic pancreaticoduodenectomy: A review of 285 published cases. Ann Surg Oncol. 2011 May;18(5):1335-41.
11. Senthilnathan P, Srivatsan Gurumurthy S, Gul SI, Sabnis S, Natesan AV, Palanisamy NV et al. Long term results of laparoscopic pancreaticoduodenectomy for pancreatic and periamopullary cance-experience of 130 cases from a tertiary-care center in south India. J Laparoendosc Adv Surg Tech A. 2015 Apr;25(4):295-300.
12. Liang S, Hameed U, Jayaraman S. Laparoscopic pancreatectomy: indication and outcomes. World J Gastroenterol. 2014 Oct 21;20(39):14246-54.
13. Palanivelu C, Senthilnathan P, Sabnis SC, Babu NS, Srivatsan Gurumurthy S, Anand Vijai N et al. Randomized clinical trial of laparoscopic versus open pancreatoduodenectomy for periampullary tumors. Br J Surg. 2017 Oct; 104(11): 1443-50.
14. Poves I, Burdio F, Morato O, Iglesias M, Radosevic A, Ilzarbe L et al. Comparison of Perioperative outcomes Between Laparoscopic and Open Approach for Pancreatoduodenectomy: The PADULAP Randomized Controlled Trial. Ann Surg. 2018 Nov;268(5):731-739.
15. Van Hilst J, de Rooij T, Bosscha K, Brinkman DJ, van Dieren S, Dijkgraaf MG et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): a multicenter, patient-blinded, randomized controlled phase 2/3 trial. Lancet Gastroenterol Hepatol. 2019 Mar;4(3):199-207.
16. Ausania F, Landi F, Martinez-Perez A, Fondevila C. A meta-analysis of randomized controlled trials comparing laparoscopic vs open pancreatioduodenctomy. HPB(Oxford). 2019 Jun 25. Pii:S1365-182X(19)30567-2.
Published
2020-01-08
How to Cite
JOSHI, Mukund Raj et al.
Complete Laparoscopic Pancreatoduodenectomy: our experience of first case..
J Soc Surg Nep, [S.l.], v. 22, n. 1, p. 26-30, jan. 2020.
ISSN 2392-4772.
Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=372>. Date accessed: 24 oct. 2024.
Section
Case Reports
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