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- W2894734332 abstract "Introduction: Laparoscopic pancreatoduodenectomy (LP) remains one of the most advanced applications for minimally invasive surgery. Thanks to new advances in technology and instrument within the past decade, the sophisticated laparoscopic procedures, such as pancreatoduodenectomy, are gaining in popularity. Methods: Data were collected from 35 patients who underwent an LP from 2010 to 2017. The authors analyzed mean age, operating time, blood loss, pathological findings, complications, mortality and recurrent rate. Results: The mean age of 54.1 ± 2.3 years. Intraoperatively, the mean operative time was 7.6 ± 1.3 hours, and the mean blood loss of 131.4 ± 40.4 ml. The complications included 11.4% grade C pancreatic fistula (ISGPS 2016) reoperated and 11.4% abdominal fluid collection. There was no death case in hospital stay, with the median length of 12 days. 65.7% of LP was total and the other was hybrid procedure. The pathological results included 77.1% adenocarcinoma, 14.3% mucinous cystadenoma, and 8.6% chronic inflammation. Those malignant lesions were at the ampulla of Vater (74.1%), terminal part of common bile duct (18.5%) and head pancreas (7.4%). Lymph node involvement was not in 22 out of 27 malignant specimens. 21 patients with cancerous tumors were followed-up. The overall survival rates within 1- and 5-years of resection were 66.7% and 13.3%, respectively. The recurrent rate was 20% with disease-free survival time within 1- and 5-years of resection being 70% and 15%, respectively. Conclusion: This research shows that the laparoscopic pancreatoduodenectomy is not only a feasible but also safe procedure for wide application with acceptable rates of complications and recurrence." @default.
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- W2894734332 date "2018-09-01" @default.
- W2894734332 modified "2023-10-16" @default.
- W2894734332 title "The outcome of the laparoscopic pancreatoduodenectomy in a center" @default.
- W2894734332 doi "https://doi.org/10.1016/j.hpb.2018.06.2150" @default.
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