Long-term results of laparoscopic pancreaticoduodenectomy for pancreatic and periampullary cancer-experience of 130 cases from a tertiary-care center in South India

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Palanisamy SenthilnathanChinnusamy Palanivelu

Abstract

Laparoscopic pancreaticoduodenectomy (LPD), although an advanced surgical procedure, is being increasingly used for pancreatic head and periampullary tumors. We present our experience of 15 years with the largest series in total LPD for periampullary and pancreatic head tumors with data on oncological outcome and long-term survival. Prospective and retrospective data of patients undergoing LPD from March 1998 to April 2013 were reviewed. Of the 150 cases, 20 cases of LPD (7 cases done for chronic pancreatitis and 13 cases for benign cystic tumors of the pancreas) have been excluded, which leaves us with 130 cases of LPD performed for malignant indications. In total, 130 patients were chosen for the study. The male:female ratio was 1:1.6, with a median age of 54 years. We had one conversion to open surgery in our series, the overall postoperative morbidity was 29.7%, and the mortality rate was 1.53%. The pancreatic fistula rate was 8.46%. The mean operating time was 310±34 minutes, and the mean blood loss was 110±22 mL. The mean hospital stay was 8±2.6 days. Resected margins were positive in 9.23% of cases. The mean tumor size was 3.13±1.21 cm, and the mean number of retrieved lymph nodes was 18.15±4.73. The overall 5-year actua...Continue Reading

Associated Clinical Trials

Jun 21, 2016·Ayman El Nakeeb

References

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Citations

Feb 3, 2016·World Journal of Surgery·Chien-Hung LiaoTa-Sen Yeh
Mar 26, 2016·Surgical Oncology Clinics of North America·Deepa MaggeHerbert J Zeh
Sep 13, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Senthilnathan PalanisamyPalanivelu Chinnusamy
Sep 30, 2015·Surgical Endoscopy·Senthilnathan PalanisamyPalanivelu Chinnusamy
Jul 15, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·G Paul Wright, Amer H Zureikat
Oct 25, 2016·International Journal of Surgery·Mingjun WangBing Peng
Aug 29, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ayman El NakeebAmgad Zaghloul
Nov 25, 2016·International Journal of Colorectal Disease·Jeonghyun KangSeung-Kook Sohn
Feb 17, 2017·Surgical Endoscopy·Bjørn EdwinUNKNOWN EAES Consensus Conference Study Group
Oct 13, 2017·ANZ Journal of Surgery·Bhavik PatelDavid Cavallucci
May 28, 2019·Annals of Gastroenterological Surgery·Jonathan Geograpo Navarro, Chang Moo Kang
Mar 13, 2020·World Journal of Surgery·Rajesh S ShindeShailesh V Shrikhande
Nov 7, 2016·Updates in Surgery·Alessandro CoppolaHoracio J Asbun
Sep 13, 2017·The British Journal of Surgery·C PalaniveluS Rajapandian
Feb 23, 2021·Journal of Gastrointestinal Cancer·Ashish SwamiShilpi Gupta Dixit

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Methods Mentioned

BETA
dissection
surgical resection

Clinical Trials Mentioned

NCT02081131

Software Mentioned

GraphPad Prism
GraphPad

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