A non-randomized comparative study of laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy

• Published in: Hepato-gastroenterology Vol. 59; no. 114; p. 570
• Main Authors: Kuroki, Tamotsu, Adachi, Tomohiko, Okamoto, Tatsuya, Kanematsu, Takashi
• Format: Journal Article
• Language: English
• Published: Greece 01.03.2012
• Subjects: Aged; Aged, 80 and over; Blood Loss, Surgical - prevention & control; Feasibility Studies; Female; Humans; In Vitro Techniques; Laparoscopy - adverse effects; Male; Middle Aged; Pancreatic Neoplasms - pathology; Pancreatic Neoplasms - surgery; Pancreaticoduodenectomy - adverse effects; Pancreaticoduodenectomy - methods; Pancreatitis, Chronic - pathology; Pancreatitis, Chronic - surgery; Postoperative Complications - etiology; Retrospective Studies; Time Factors; Treatment Outcome
• ISSN: 0172-6390
• DOI: 10.5754/hge11351

Laparoscopic surgery for periampullary disease is still a challenging operation. The aim of this study was to compare the perioperative outcomes of patients undergoing conventional pancreaticoduodenectomy (PD) with the outcomes of those undergoing laparoscopy-assisted PD. A retrospective analysis was conducted on 51 consecutive patients who underwent laparoscopy-assisted or open PD for periampullary disease. There were no significant differences in the preoperative demographic or clinical data of the two study groups. Although there were no significant differences in the operative time between the two study groups, blood loss in the laparoscopy-assisted PD group was significantly smaller than that in the open PD group. There were no significant differences in the occurrence of postoperative complications between the two groups. Laparoscopy-assisted PD is a feasible and safe surgical procedure that provides the advantages expected from a minimally invasive surgery including less blood loss.