Objective To analyze the clinical data of patients undergoing laparoscopic duodenal head sparing pancreatectomy (LDPPHR) and summarize the experience of this procedure.Methods The clinical data of 20 patients with LDPPHR from January 2017 to June 2019 in Union Hospital, Tongji Medical College, Huazhong University of Science and Technology were retrospectively analyzed.Results All patients were successfully completed the operation under laparoscopy, no conversion to open surgery. The operation time was 210-440 mins; intraoperative blood loss was 50-300ml; postoperative complications were grade B pancreatic fistula in 2 cases, delayed gastric emptying in 1case, abdominal bleeding in 1 case with no other complications. There was no secondary pancreatic secretion dysfunction. The average length of stay was 16.4 days. Postoperative pathological examination showed that there were 5 cases of solid pseudopapillary tumor, 4 cases of neuroendocrine tumor, 4 cases of mucinous cystadenoma, 3 cases of intraductal papillary mucinous tumor, 2 cases of serous cystadenoma and 2 cases of pancreatic true cyst.Conclusion LDPPHR for benign or low-grade malignant tumors of the head of the pancreas is a safe and effective surgical method with short hospital stay and quick recovery, which is worthy of promotion.
Key words
Laparoscopy /
Pancreatic benign and low-grade malignant tumors /
Duodenum-preserving pancreatic head resection /
Complications /
Pancreatic endocrine and exocrine dysfunction
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