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Cirujano general
versão impressa ISSN 1405-0099
Resumo
CRISANTO-CAMPOS, Braulio Aarón et al. Initial experience in laparoscopic pancreaticoduodenectomy in a general hospital in Mexico City. Cir. gen [online]. 2016, vol.38, n.2, pp.59-66. Epub 31-Mar-2020. ISSN 1405-0099.
Background:
Nowadays, open pancreaticoduodenectomy is the gold standard in the treatment of pancreatic tumors. Gagner and Pomp described in 1994 the laparoscopic approach of pancreaticoduodenectomy; there are numerous papers in the worldwide literature describing acceptable outcomes with the laparoscopic approach.
Aims:
To describe the outcomes of patients with laparoscopic pancreaticoduodenectomy in the last two years at the host hospital.
Material and methods:
Patients with pancreatic tumors treated from March 2013 to March 2015 with minimally invasive pancreaticoduodenectomy were included. Outcomes were determined and compared with those published in the worldwide literature.
Results:
Seven patients were included (five with total laparoscopic pancreaticoduodenectomy and two with hybrid approach). The mortality rate was 0%; morbidity, 14.2%; mean operating time, 625 minutes; mean blood loss was 678 ml; the mean hospital stay was 12.5 days.
Conclusions:
The outcomes obtained in this study demonstrate that, in selected patients and with skilled surgeons, laparoscopic pancreaticoduodenectomy is a safe and efficient option to treat patients with resectable pancreatic tumors.
Palavras-chave : Pancreatic tumors; laparoscopic pancreaticoduodenectomy.