Two-surgeon Model in Laparoscopic Pancreaticoduodenectomy

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Yunqiang CaiBing Peng

Abstract

Laparoscopic pancreaticoduodenectomy (LPD) is one of the most challenging gastrointestinal surgeries. Herein, we propose a new laparoscopic surgical conception called the 2-surgeon model and share our experience in LPD. We began performing LPD using the 2-surgeon model in October 2015. To December 2017, we have performed 203 cases of LPDs using 2-surgeon model. Data associated with demographic characteristics, operative outcomes, and postoperative results were prospectively collected and analyzed retrospectively. Only 1 patient in our series required to conversion to open surgery. The mean operative time was 318 minute. The estimated blood loss was 108 mL. The overall complication was 26.1%. In total, 41 patients (20.2%) suffered from pancreatic fistula, including 33 cases of grade A, 7 cases of grade B, and 1 case of grade C. The 90-day mortality was 0.5%. The 2-surgeon model is safe and feasible for LPD.

References

May 1, 1994·Surgical Endoscopy·M Gagner, A Pomp
Jul 31, 2007·Journal of the American College of Surgeons·Chinnasamy PalaniveluMadathupalayam Velusamy Madhankumar
Aug 5, 2009·Journal of Hepato-biliary-pancreatic Surgery·C PalaniveluP Praveen Raj
Jun 14, 2014·Annals of Surgical Oncology·Paul J SpeicherAlexander Perez
Aug 16, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Feb 24, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mingjun WangBing Peng
May 5, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel DelittoSteven J Hughes
Aug 6, 2017·Surgical Endoscopy·Brandon C ChapmanBarish H Edil

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