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.
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.