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Date Published: 31/05/2023
Online Published: 31/05/2023
Abstract Views: 327
Views PDF: 279
DOI: https://doi.org/10.58490/ctump.2023i59.1564
Issue
No. 59 (2023)
Section
Article
How to Cite
Pham, M. H., Vu , Q. H., Pham, L. B., Le , Q. A. T., Tran, T. N. H., Nguyen, H. D. K., Duong , T. N. S., Tran, V. T., Phan , M. T., & Nguyen, H. B. (2023). EARLY OUTCOMES OF TOTALLY LAPAROSCOPIC PANCREATICODUODENECTOMY FOR PERIAMPULLARY CANCER: A RETROSPECTIVE STUDY OF 65 CASES. Cantho Journal of Medicine and Pharmacy, 59, 10-17. https://doi.org/10.58490/ctump.2023i59.1564

EARLY OUTCOMES OF TOTALLY LAPAROSCOPIC PANCREATICODUODENECTOMY FOR PERIAMPULLARY CANCER: A RETROSPECTIVE STUDY OF 65 CASES

Minh Hai Pham1,, Quang Hung Vu 1,2, Long Binh Pham1, Quan Anh Tuan Le 1,2, Thai Ngoc Huy Tran1, Hang Dang Khoa Nguyen1, Thi Ngoc Sang Duong 1, Van Toan Tran1, Minh Tri Phan 2, Hoang Bac Nguyen1,2
1 University Medical Center at Ho Chi Minh City
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Background: Laparoscopic pancreaticoduodenectomy for periampullary carcinoma remains a difficult procedure with high morbidity rate. Objectives: To estimate the feasibily, safety and effectiveness of this procedure performed in University Medical Center at Ho Chi Minh city, Vietnam. Material and methods: a retrospective study, case series report on 65 patients indicated for laparoscopic pancreaticoduodenectomy due to periampullary cancer of Vater, from February 2017 to January 2022 at University Medical Center at Ho Chi Minh city . Results: there were 65 patients underwent laparoscopic pancreaticoduodenectomy for periampullary carcinoma in University Medical Center. The mean operating time was 509 94 minutes. The estimated blood loss was 267 102 ml. The median hospital stay was 8 days. Major complications (Clavien-Dindo ≥ III)  and pancreatic fistula rates were 13.8% and 12.3%, respectively. The median comprehensive complication index (overall complication) was 8.7. Three patients required reoperation due to severe pancreatic fistula and bleeding. There was no death within 90 days postoperatively. The number of harvested lymph nodes was 15.8 ± 6.2. R0 resection achieved in 100% of cases. Conclusions: In appropriate patients, laparoscopic pancreaticoduodenectomy could be a feasible, safe and effective procedure for periampullary carcinoma treatment. 

Article Details

Keywords

Periampullary carcinoma, pancreaticoduodenectomy, pancreatic fistula

References

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