Clinical experience of minimally invasive duodenum preserving pancreatic head resection
Background: In recent years, an increasing number of pancreatic surgeons has begun to pay attention to duodenum-preserving pancreatic head resection (DPPHR). The purpose of this article is to summarize our experience in minimally invasive DPPHR. Methods: We retrospectively collected outcome data of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2022-12-01
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| Series: | Intelligent Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666676622001132 |
| _version_ | 1797980274006425600 |
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| author | Hang Xu Jialin Li Jiang Liu Bo Zhang Wei Wang |
| author_facet | Hang Xu Jialin Li Jiang Liu Bo Zhang Wei Wang |
| author_sort | Hang Xu |
| collection | DOAJ |
| description | Background: In recent years, an increasing number of pancreatic surgeons has begun to pay attention to duodenum-preserving pancreatic head resection (DPPHR). The purpose of this article is to summarize our experience in minimally invasive DPPHR. Methods: We retrospectively collected outcome data of twenty consecutive cases of laparoscopic or robotic DPPHR performed between June 2021 and January 2022 in the Fudan University Shanghai Cancer Center. Results: All patients successfully completed the operation under minimally invasive procedures, and in no case conversion to laparotomy or pancreaticoduodenectomy was required. The average operation duration was 293 ± 41 min (range: 216–393 min); the intraoperative blood loss was 163 ± 70 ml (range: 50–300 ml), and no intraoperative blood transfusion was required. A total of ten patients (50%) developed postoperative complications, including one patient who suffered a Clavien-Dindo complication grade ≥ III. The average postoperative length of stay was 16.6 ± 5.4 days (range:10–33 days). Conclusions: Minimally invasive DPPHR for benign or low-grade malignant tumors of the head of the pancreas is a safe and effective operation, which can improve the long-term quality of life of patients, and is worthy of clinical application. |
| first_indexed | 2024-04-11T05:52:07Z |
| format | Article |
| id | doaj.art-49d6bc97801b42bcbd6baae96372b0b6 |
| institution | Directory Open Access Journal |
| issn | 2666-6766 |
| language | English |
| last_indexed | 2024-04-11T05:52:07Z |
| publishDate | 2022-12-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Intelligent Surgery |
| spelling | doaj.art-49d6bc97801b42bcbd6baae96372b0b62022-12-22T04:42:01ZengKeAi Communications Co., Ltd.Intelligent Surgery2666-67662022-12-0151215Clinical experience of minimally invasive duodenum preserving pancreatic head resectionHang Xu0Jialin Li1Jiang Liu2Bo Zhang3Wei Wang4Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, ChinaDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, ChinaDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, ChinaDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, ChinaDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China; Corresponding author. Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.Background: In recent years, an increasing number of pancreatic surgeons has begun to pay attention to duodenum-preserving pancreatic head resection (DPPHR). The purpose of this article is to summarize our experience in minimally invasive DPPHR. Methods: We retrospectively collected outcome data of twenty consecutive cases of laparoscopic or robotic DPPHR performed between June 2021 and January 2022 in the Fudan University Shanghai Cancer Center. Results: All patients successfully completed the operation under minimally invasive procedures, and in no case conversion to laparotomy or pancreaticoduodenectomy was required. The average operation duration was 293 ± 41 min (range: 216–393 min); the intraoperative blood loss was 163 ± 70 ml (range: 50–300 ml), and no intraoperative blood transfusion was required. A total of ten patients (50%) developed postoperative complications, including one patient who suffered a Clavien-Dindo complication grade ≥ III. The average postoperative length of stay was 16.6 ± 5.4 days (range:10–33 days). Conclusions: Minimally invasive DPPHR for benign or low-grade malignant tumors of the head of the pancreas is a safe and effective operation, which can improve the long-term quality of life of patients, and is worthy of clinical application.http://www.sciencedirect.com/science/article/pii/S2666676622001132DPPHRPancreatic operationBeger procedure |
| spellingShingle | Hang Xu Jialin Li Jiang Liu Bo Zhang Wei Wang Clinical experience of minimally invasive duodenum preserving pancreatic head resection Intelligent Surgery DPPHR Pancreatic operation Beger procedure |
| title | Clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| title_full | Clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| title_fullStr | Clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| title_full_unstemmed | Clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| title_short | Clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| title_sort | clinical experience of minimally invasive duodenum preserving pancreatic head resection |
| topic | DPPHR Pancreatic operation Beger procedure |
| url | http://www.sciencedirect.com/science/article/pii/S2666676622001132 |
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