Crisanto-Campos Braulio-Aarón, Pérez-Ponce Y, Martínez-Rivera Juan-Carlos, Oregel-Aguilar V, Romero-Durán Francisco-Natanael

Language: Spanish
References: 5
Page: 98-102
PDF size: 336.58 Kb.

ABSTRACT

Background: The open pancreaticoduodenectomy is the standard technique in the treatment of periampullary and pancreatic tumors. In 1994 the laparoscopic approach was described and in 2016 the first Mexican series was published. Several international reports have demonstrated good result with the minimally invasive approach in terms of a larger number of lymph nodes resected, a higher possibility to obtain free margins macro and microscopically, less hospital stay and a higher possibility of establishing adjuvancy within the first eight weeks after surgery due to a lower risk of post-surgical complications. The goal of this case report is to describe the results of the laparoscopic pancreaticoduodenectomy technique. Case report: A multi-disciplinary committee was created for this case selection. 42-year-male with no relevant clinical history. He developed jaundice and right subcostal pain in the course of three months, with weight loss of 8 kg, CA 19-9 of 45; the US, reporting gallstones and a common bile duct of 15 mm; endoscopic retrograde cholangiopancreatography with evidence of an exophytic tumor of the ampulla of Vater and a distal third stenosis of the common bile duct, a histopathological report of high grade dysplasia /in situ carcinoma. CT with a dilated extra and intrahepatic bile tree, no vascular invasion of the coeliac trunk or superior mesenteric artery or vein. Conclusions: The laparoscopic approach for this type of tumors is feasible,effective and safe, therefore, institutional collaboration should be considered as an option in the treatment of patients with periampullary resectable tumors. This report is the first documented collaboration of this type in our country until now.

REFERENCES

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