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- W2997794243 abstract "Introduction: Laparoscopic pancreaticoduodenectomy (LPD) is safe and feasible for periampullary tumors. However, it is technical challenging to perform laparoscopic pancreaticoduodenectomy with major vascular resection and reconstruction. Method: From November 2015 to December 2018, 61 patients were performed laparoscopic pancreaticoduodenectomy with major vascular resection and reconstruction by a single operative team. Data in terms of demographic characteristics, intra-operative and post-operative variables, and short-term follow-up outcomes were prospectively collected and analyzed retrospectively. Result: There were 32 male and 29 female patients in this series. The median age of these patients was 66 years. Twenty-seven cases of wage resections, twenty-two cases of end-to-end anastomosis, forteen cases of artificial grafts and one case of round ligament graft were performed in this series. The mean time for blood occlusion was 25 min, including 12 min for wage resections, 21 min for end-to-end anastomosis, and 37 min for artificial grafts. The mean operative time was 438 ± 41 min. The average estimated blood loss 204 ± 38 ml. The overall complications were 26.2%, including seven cases of pancreatic fistula, two cases of post-operative abdominal bleeding, four cases of abdominal fluid collection and three cases of portal vein thrombosis. No patient required re-operation. There was no 90-days mortality in our series. Conclusion: It is safe and feasible to perform laparoscopic pancreaticoduodenectomy with major vessels resection and reconstruction in well-selected patients." @default.
- W2997794243 created "2020-01-10" @default.
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- W2997794243 date "2019-01-01" @default.
- W2997794243 modified "2023-09-30" @default.
- W2997794243 title "Laparoscopic pancreaticoduodenectomy with major venous resection and reconstruction" @default.
- W2997794243 doi "https://doi.org/10.1016/j.hpb.2019.10.1701" @default.
- W2997794243 hasPublicationYear "2019" @default.
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