Laparoscopic versus open pancreaticoduodenectomy: short-term clinical efficacy evaluation

Abstract

Abstract:ObjectiveTo evaluate the short-term efficacy of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD).MethodsA retrospective cohort study was conducted. The clinical data of 120 patients of LPD group and 137 patients of OPD group in our department from June 2017 to June 2018 were collected to compare perioperative efficacy between 2 groups.ResultsAll 257 patients completed the operation smoothly. There was no significant difference in general and preoperative data between 2 groups (P>; 0.05). Compared with OPD group, patients in LPD group had less intraoperative blood loss (P< 0.001) and less cases with positive margin by postoperative pathology (P< 0.05). Postoperative complications including incidence with Clavien-Dindo grading≥; 3, postoperative hemorrhage, abdominal infection and gastric emptying dysfunction in LPD group were less than those in OPD group (P< 0.05). There was no statistical difference in the incidence of other complications (P>; 0.05). The hospital stay and analgesia time in LPD group during postoperative period were less than those in OPD group with statistical difference (P< 0.001).ConclusionsLPD would be similar to OPD in short-term clinical efficacy when the team pass operative learning curve and some advantage was found such as less blood loss and less postoperative complications.

Key words:Pancreaticoduodenectomy,Laparoscopy,Clinical efficacy

CLC Number:

R735.9

WANG Hebin, PENG Feng, ZHU Feng, WANG Min, QIN Renyi. Laparoscopic versus open pancreaticoduodenectomy: short-term clinical efficacy evaluation[J]. Journal of Surgery Concepts & Practice, 2019, 24(03): 222-225.

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