ABSTRACT
Objective@#To study the feasibility of using a double purse-string bridging pancreaticojejunostomy in total laparoscopic pancreaticoduodenectomy (TLPD).@*Methods@#A database of 35 patients who underwent TLPD using a double purse-string bridging pancreaticojejunostomy from January 2016 to January 2019 in Jinhua Hospital of Zhejiang University was retrospectively reviewed. The perioperative outcomes were analyzed.@*Results@#All the 35 patients underwent TLPD successfully. The surgery time was (370.2±33.5) min, and the time of constructing the pancreaticojejunostomy was (28.4±12.6) min. The hospital stay after surgery was (14.2±6.9) days. Five patients developed postoperative complications, including pancreatic fistula in 3 patients, bile leakage in 1 patient, gastroparesis (complicated with abdominal infection) in 1 patient, and abdominal infection in 3 patients (2 patients with pancreatic fistula, and 1 patient with gastroparesis). All the patients with complications responded well to conservative treatment.@*Conclusions@#A double purse-string bridging pancreaticojejunostomy was simple and widely applicable. It is safe and feasible in total laparoscopic pancreaticoduodenectomy and should be promoted in clinical practice.
ABSTRACT
Objective To study the feasibility of using a double purse-string bridging pancreaticoje-junostomy in total laparoscopic pancreaticoduodenectomy ( TLPD ) . Methods A database of 35 patients who underwent TLPD using a double purse-string bridging pancreaticojejunostomy from January 2016 to Janu-ary 2019 in Jinhua Hospital of Zhejiang University was retrospectively reviewed. The perioperative outcomes were analyzed. Results All the 35 patients underwent TLPD successfully. The surgery time was (370. 2 ± 33. 5) min, and the time of constructing the pancreaticojejunostomy was (28. 4 ± 12. 6) min. The hospital stay after surgery was (14. 2 ± 6. 9) days. Five patients developed postoperative complications, including pancreatic fistula in 3 patients, bile leakage in 1 patient, gastroparesis ( complicated with abdominal infec-tion) in 1 patient, and abdominal infection in 3 patients ( 2 patients with pancreatic fistula, and 1 patient with gastroparesis) . All the patients with complications responded well to conservative treatment. Conclu-sions A double purse-string bridging pancreaticojejunostomy was simple and widely applicable. It is safe and feasible in total laparoscopic pancreaticoduodenectomy and should be promoted in clinical practice.