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Single-port laparoscopic pancreaticoduodenectomy

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Abstract

Background

Performing a single-port laparoscopic pancreatectomy is technically challenging. Single-port laparoscopic pancreaticoduodenectomy (SPLPD) is rarely reported in English literature.

Methods

Eighty-seven cases of laparoscopic pancreaticoduodenectomy (LPD) were performed by a single surgical team in the Department of Pancreatic Surgery, West China Hospital, Sichuan University between February 2020 and December 2020. Among these, 13 cases of LPD (group 1) were performed using a single-port device. Basing on the same inclusion and exclusion criteria, 68 cases of LPD performed using traditional 5-trocar were included as a control group (group 2). The patient’s demographic characteristics, intraoperative, and postoperative variables were prospectively collected and retrospectively analyzed.

Results

Five men and eight women were included in the SPLPD group. The median age of these patients was 57 years. The patients who underwent SPLPD required a longer operative time (332.7 ± 38.1 min vs. 305.8 ± 64.7 min; p = 0.03) than those in the LPD group. The estimated blood loss, conversion rate, blood transfusion rate, time to oral intake, postoperative hospital stays, and perioperative complications were comparable between the two groups. The short-term oncological outcomes, such as R0 rate and lymph node harvested, were comparable between the two groups. The 90-day mortality of all patients was zero.

Conclusions

SPLPD is a safe and feasible procedure for well-selected patients in an experienced minimally invasive pancreatic surgery team. SPLPD may provide several potential advantages, such as the requirement of fewer trocars, fewer abdominal complications, and reduced participation of assistants than conventional LPD.

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Funding

This study was funded by National Institutes of Health of China (W2017ZWS07).

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Author notes

  1. Pan Gao and He Cai have contributed equally to this study.

Authors and Affiliations

  1. Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, No 37, Guo Xue Xiang, Chengdu, 610041, Sichuan, China

    Pan Gao, He Cai, Bing Peng & Yunqiang Cai

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  1. Pan Gao
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  2. He Cai
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  3. Bing Peng
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  4. Yunqiang Cai
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Correspondence to Yunqiang Cai.

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Dr. Pan Gao, He Cai, Bing Peng, and Yunqiang Cai have no conflicts of interest or financial ties to disclose.

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Gao, P., Cai, H., Peng, B. et al. Single-port laparoscopic pancreaticoduodenectomy. Surg Endosc 37, 1166–1172 (2023). https://doi.org/10.1007/s00464-022-09618-8

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  • DOI: https://doi.org/10.1007/s00464-022-09618-8

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