Total laparoscopic pancreaticoduodenectomy: a report of 111 cases in a single center

Objective To evaluate the result of laparoscopic pancreaticoduodenectomy(LPD). Methods We retrospectively analyzed the perioperative clinical data of 111 consecutive LPD procedures performed from Jan 2015 to Aug 2018 at Department of General Surgery, the Affiliated Hospital of Xuzhou Medical University. Results Of the 111 patients undergoing laparoscopic procedure, 24 patients (21.6%) had abdominal surgery history. The mean operative time was (360.9±108.9)minutes.The mean blood loss was (270.9±184.9)m1.The mean operative time of pancreatojejunostomy and choledochojejunostomy was (46.2±11.6) minutes and (19.0±7.2) minutes, respectively. The mean postoperative hospital stay was(14.9±4.7)days. The rate of pancreatic fistula grade B was 6.3% and pancreatic fistula grade A was 20.7%. The rate of bile leakage was 1.8%. Second surgical operation was necessary for 5 cases (4.5%), delayed postoperative hemorrhage occurred in 2 cases (1.8%). The mean number of lymph nodes harvested was(14.2±7.9) and the positive rate number was (0.9±1.8). Conclusions LPD improves the operation quality, reduces intraoperative hemorrhage and accelerates the postoperative recovery. Key words: Laparoscopy; Pancreaticoduodenectomy