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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2016, Number 2

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Cir Gen 2016; 38 (2)

Initial experience in laparoscopic pancreaticoduodenectomy in a general hospital in Mexico City

Crisanto-Campos BA, Arce-Liévano E, Robles-Aviña JA, Cárdenas-Lailson LE, Trejo-Ávila ME, Moreno-Portillo M

Language: Spanish
References: 19
Page: 59-66
PDF size: 254.83 Kb.


ABSTRACT

Background: Nowadays, open pancreaticoduodenectomy is the gold standard in the treatment of pancreatic tumors. Gagner and Pomp described in 1994 the laparoscopic approach of pancreaticoduodenectomy; there are numerous papers in the worldwide literature describing acceptable outcomes with the laparoscopic approach. Aims: To describe the outcomes of patients with laparoscopic pancreaticoduodenectomy in the last two years at the host hospital. Material and methods: Patients with pancreatic tumors treated from March 2013 to March 2015 with minimally invasive pancreaticoduodenectomy were included. Outcomes were determined and compared with those published in the worldwide literature. Results: Seven patients were included (five with total laparoscopic pancreaticoduodenectomy and two with hybrid approach). The mortality rate was 0%; morbidity, 14.2%; mean operating time, 625 minutes; mean blood loss was 678 ml; the mean hospital stay was 12.5 days. Conclusions: The outcomes obtained in this study demonstrate that, in selected patients and with skilled surgeons, laparoscopic pancreaticoduodenectomy is a safe and efficient option to treat patients with resectable pancreatic tumors.


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