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Laparoscopic assisted duodenopancreatectomy

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Abstract

Background

In the past few years, minimally invasive therapy for pancreatic diseases has made significant strides but the role of laparoscopic pancreaticoduodenectomy is still controversial.

Methods

Four patients with a mean age of 44 ± 11 years were chosen for a laparoscopic pancreaticoduodenectomy. Pathological diagnoses were ductal adenocarcinoma in one, neuroendocrine tumor in two, and metastatic malignant melanoma in one.

Results

The procedure was laparoscopically completed in all with a mean operating time, blood loss, and hospital stay of 416 ± 77 min, 325 ± 50 ml, and 12 ± 2 days, respectively. There were no complications attributable to this surgery and there were no deaths. The average number of dissected lymph nodes was 26 ± 17 (range 16-47). All the patients remained well at a median follow-up of 4.5 months (range 1-10).

Conclusions

It can be inferred from this small but successful experience that laparoscopic pancreaticoduodenectomy can be considered for the treatment of tumors of the pancreas or periampullary region.

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Authors and Affiliations

  1. Department of Surgery, Vita e Salute University, San Raffaele Scientific Institute, Via Olgettina, 60, Milan, 20132, Italy

    C. Staudacher, E. Orsenigo, P. Baccari, S. Di Palo & S. Crippa

Authors
  1. C. Staudacher
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  2. E. Orsenigo
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  3. P. Baccari
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  4. S. Di Palo
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  5. S. Crippa
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Corresponding author

Correspondence to C. Staudacher.

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Staudacher, C., Orsenigo, E., Baccari, P. et al. Laparoscopic assisted duodenopancreatectomy. Surg Endosc 19, 352–356 (2005). https://doi.org/10.1007/s00464-004-9055-y

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