Comparative study of perioperative efficacy between laparoscopic and open pancreaticoduodenectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

JIANG Kangyi , GAO Fengwei ,  LEI Zehua , WU Jianping , FU Jinqiang , DU Bo , WANG Zhixu , XIE Qingyun , ZHOU Quanyu , GONG Jie , XUE Qian , ZHAO Xin

Department of Hepatobiliary Pancreatic and Splenic Surgery, People’s Hospital of Leshan/HBPS Diseases Center for Diagnosis and Treatment of Leshan City, Leshan, Sichuan 614000, P. R. China;

Corresponding?author：

LEI Zehua, Email: leitsehua@126.com

Keywords：

pancreaticoduodenectomy; laparoscope; safety; efficacy

DOI：

10.7507/1007-9424.202008040

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate safety and effectiveness of laparoscopic pancreaticoduodenectomy (LPD) in municipal hospitals.Methods The clinic data of patients underwent pancreatoduodenectomy in the Leshan People’s Hospital from November 2017 to January 2020 were retrospectively analyzed. The patients were divided into LPD group and open pancreaticoduodenectomy (OPD) group according to the operation methods, and the indicators of perioperative safety and effectiveness of the two groups were compared.Results A total of 72 patients were enrolled in this study, including 30 patients in the LPD group and 42 patients in the OPD group. There were no significant differences in the age, gender, and other baseline indicators between the two groups (P>0.05). Although the operative time of the LPD group was longer than that of the OPD group (P<0.05), the intraoperative blood loss in the LPD group was significantly less than that in the OPD group (P<0.05), the postoperative hospital stay, postoperative exhaust time, and postoperative ambulation time in the LPD group were shorter than those in the OPD group (P<0.05). And there were no significant differences in the terms of intraoperative red blood cell transfusion, intraoperative blood transfusion rate, postoperative ICU hospitalization time, hospitalization expenses, overall complications and specific complications (except incision infection rate of LPD group was significantly lower than OPD group, P=0.031) between the two groups (P>0.05). There were no significant differences in the positive rate of resection margin, number of lymph node dissection, and positive rate of lymph node between the two groups (P>0.05).Conclusion LPD has the same safety and effectiveness as OPD in the perioperative period in municipal hospitals, and is more conducive to postoperative recovery of patients.

Citation： JIANG Kangyi, GAO Fengwei, LEI Zehua, WU Jianping, FU Jinqiang, DU Bo, WANG Zhixu, XIE Qingyun, ZHOU Quanyu, GONG Jie, XUE Qian, ZHAO Xin. Comparative study of perioperative efficacy between laparoscopic and open pancreaticoduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(3): 345-349. doi: 10.7507/1007-9424.202008040 Copy

1.	彭兵, 王明俊. 腹腔鏡胰十二指腸切除術的歷史與現狀. 中國普外基礎與臨床雜志, 2016, 23(4): 385-387.
2.	Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc, 1994, 8(5): 408-410.
3.	Kantor O, Talamonti MS, Sharpe S, et al. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy. Am J Surg, 2017, 213(3): 512-515.
4.	王文斌, 閆長青, 呂海濤, 等. 腹腔鏡與開腹胰十二指腸切除術療效分析. 中華肝膽外科雜志, 2017, 23(2): 110-113.
5.	Ricci C, Casadei R, Taffurelli G, et al. Minimally invasive pancreaticoduodenectomy: What is the best “choice” ? A systematic review and network meta-analysis of non-randomized comparative studies. World J Surg, 2018, 42(3): 788-805.
6.	任芳, 金巍巍, 牟一平, 等. “Easy First”策略行腹腔鏡胰十二指腸切除術治療可能切除胰腺癌的臨床療效. 中華消化外科雜志, 2015, 14(8): 644-647.
7.	Bassi C, Marchegiani G, Dervenis C, et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. surgery, 2017, 161(3): 584-591.
8.	中華醫學會外科學分會胰腺外科學組, 中國研究型醫院學會胰腺病專業委員會, 中華外科雜志編輯部. 胰腺術后外科常見并發癥診治及預防的專家共識(2017). 中華外科雜志, 2017, 55(5): 328-334.
9.	盧榜裕, 陸文奇, 蔡小勇, 等. 腹腔鏡胰十二指腸切除治療十二指腸乳頭癌一例報告. 中國微創外科雜志, 2003, 3(3): 197-198.
10.	蔡云強, 彭兵. 淺談如何安全度過腹腔鏡胰十二指腸切除術學習曲線. 腹腔鏡外科雜志, 2018, 23(5): 326-328.
11.	Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc, 2015, 29(1): 9-23.
12.	Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc, 2013, 27(1): 95-103.
13.	Song KB, Kim SC, Hwang DW, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving pancreaticoduodenectomy in patients with periampullary tumors. Ann Surg, 2015, 262(1): 146-155.
14.	劉學青, 邢中強, 秦建章, 等. 腹腔鏡胰十二指腸切除術單中心 300 例臨床分析. 中國實用外科雜志, 2018, 38(3): 306-311.
15.	柴偉, 張執全, 李鳳山, 等. 腹腔鏡胰十二指腸切除術的近期療效觀察. 中華普通外科雜志, 2018, 33(9): 737-741.
16.	Cameron JL, He J. Two thousand consecutive pancreaticoduodenectomies. J Am Coll Surg, 2015, 220(4): 530-536.
17.	Wang M, Peng B, Liu J, et al. Practice patterns and perioperative outcomes of laparoscopic pancreaticoduodenectomy in China: a retrospective multicenter analysis of 1 029 patients. Ann Surg, 2019: Jan 17.
18.	倪泉興. 胰十二指腸切除術胰腸重建的基本要求和吻合方式選擇. 中華肝膽外科雜志, 2011, 17(11): 876-878.
19.	洪德飛, 劉亞輝, 張宇華, 等. 腹腔鏡胰十二指腸切除術中“洪氏一針法”胰管空腸吻合的臨床應用. 中華外科雜志, 2017, 55(2): 136-140.
20.	高峰畏, 雷澤華, 龔杰, 等. “兩點法”胰腸吻合方式在胰十二指腸切除術中應用的研究. 外科研究與新技術, 2019, 8(3): 151-153.
21.	中華外科雜志編輯部. 開放和腹腔鏡手術中胰腸吻合方式專家談. 中華外科雜志, 2018, 56(11): 817-821.
22.	唐雪琴, 苗毅. 胰腸吻合新的理解—從機械連接到生物愈合. 中國普通外科雜志, 2015, 24(9): 1213-1215.

1. 彭兵, 王明俊. 腹腔鏡胰十二指腸切除術的歷史與現狀. 中國普外基礎與臨床雜志, 2016, 23(4): 385-387.
2. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc, 1994, 8(5): 408-410.
3. Kantor O, Talamonti MS, Sharpe S, et al. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy. Am J Surg, 2017, 213(3): 512-515.
4. 王文斌, 閆長青, 呂海濤, 等. 腹腔鏡與開腹胰十二指腸切除術療效分析. 中華肝膽外科雜志, 2017, 23(2): 110-113.
5. Ricci C, Casadei R, Taffurelli G, et al. Minimally invasive pancreaticoduodenectomy: What is the best “choice” ? A systematic review and network meta-analysis of non-randomized comparative studies. World J Surg, 2018, 42(3): 788-805.
6. 任芳, 金巍巍, 牟一平, 等. “Easy First”策略行腹腔鏡胰十二指腸切除術治療可能切除胰腺癌的臨床療效. 中華消化外科雜志, 2015, 14(8): 644-647.
7. Bassi C, Marchegiani G, Dervenis C, et al. The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. surgery, 2017, 161(3): 584-591.
8. 中華醫學會外科學分會胰腺外科學組, 中國研究型醫院學會胰腺病專業委員會, 中華外科雜志編輯部. 胰腺術后外科常見并發癥診治及預防的專家共識(2017). 中華外科雜志, 2017, 55(5): 328-334.
9. 盧榜裕, 陸文奇, 蔡小勇, 等. 腹腔鏡胰十二指腸切除治療十二指腸乳頭癌一例報告. 中國微創外科雜志, 2003, 3(3): 197-198.
10. 蔡云強, 彭兵. 淺談如何安全度過腹腔鏡胰十二指腸切除術學習曲線. 腹腔鏡外科雜志, 2018, 23(5): 326-328.
11. Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc, 2015, 29(1): 9-23.
12. Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc, 2013, 27(1): 95-103.
13. Song KB, Kim SC, Hwang DW, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving pancreaticoduodenectomy in patients with periampullary tumors. Ann Surg, 2015, 262(1): 146-155.
14. 劉學青, 邢中強, 秦建章, 等. 腹腔鏡胰十二指腸切除術單中心 300 例臨床分析. 中國實用外科雜志, 2018, 38(3): 306-311.
15. 柴偉, 張執全, 李鳳山, 等. 腹腔鏡胰十二指腸切除術的近期療效觀察. 中華普通外科雜志, 2018, 33(9): 737-741.
16. Cameron JL, He J. Two thousand consecutive pancreaticoduodenectomies. J Am Coll Surg, 2015, 220(4): 530-536.
17. Wang M, Peng B, Liu J, et al. Practice patterns and perioperative outcomes of laparoscopic pancreaticoduodenectomy in China: a retrospective multicenter analysis of 1 029 patients. Ann Surg, 2019: Jan 17.
18. 倪泉興. 胰十二指腸切除術胰腸重建的基本要求和吻合方式選擇. 中華肝膽外科雜志, 2011, 17(11): 876-878.
19. 洪德飛, 劉亞輝, 張宇華, 等. 腹腔鏡胰十二指腸切除術中“洪氏一針法”胰管空腸吻合的臨床應用. 中華外科雜志, 2017, 55(2): 136-140.
20. 高峰畏, 雷澤華, 龔杰, 等. “兩點法”胰腸吻合方式在胰十二指腸切除術中應用的研究. 外科研究與新技術, 2019, 8(3): 151-153.
21. 中華外科雜志編輯部. 開放和腹腔鏡手術中胰腸吻合方式專家談. 中華外科雜志, 2018, 56(11): 817-821.
22. 唐雪琴, 苗毅. 胰腸吻合新的理解—從機械連接到生物愈合. 中國普通外科雜志, 2015, 24(9): 1213-1215.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparative study of perioperative efficacy between laparoscopic and open pancreaticoduodenectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content