LIJing-dong 1,2 , LIYong 1,2,3 , LENGZheng-wei 1,2 , LIQiang 1,2 , YANGGang 1,2 , XUJian 1,2 , YANZai-hua 2,3 , TANGXiao-long 2,3
  • 1. Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637007, Sichuan Province, China;
  • 2. Hepatobiliary, Pancreatic & Intestinal Diseases Research Institute, North Sichuan Medical College, Nanchong 637007, Sichuan Province, China;
  • 3. Department of Clinic Medicine, North Sichuan Medical College, Nanchong 637007, Sichuan Province, China;
LIJing-dong, Email: lijingdong358@126.com
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Objective To investigate how to shorten the learning curve of the laparoscopic pancreaticoduodenectomy (LPD). Methods Clinical data of 5 patients who underwent the LPD in our hospital from May 2015 to November 2015 were retrospectively analyzed. Results The mean age of 58.8 years old. There were four patients who were diagnosed with periampullary tumor, one patient was distal bile duct carcinoma. The median operative time was 588 min, the average blood loss was 290 mL, the time of feeding was 5 days, the mean hospital stay was 25 days. One case died of cardiovascular event on postoperative day 1. One patient had postoperative bleeding after LPD, who recovered smoothly after reoperation for hemostasis laparoscopiclly. Conciusions  LPD needs basic learning curve. The key of this procedure are appropriate treatment of pancreatic head and digestive tract reconstruction. Rich operative experience of surgeon in pancreaticoduodenectomy, optimization of the operation process, skilled in laparoscopic procedures, appropriate cases, appropriate perioperative management, and steady surgical team are also important factor for the success of LPD and shorten learning curve.

Citation: LIJing-dong, LIYong, LENGZheng-wei, LIQiang, YANGGang, XUJian, YANZai-hua, TANGXiao-long. The Experience for Shortening The Learning Curve of The Laparoscopic Pancreaticoduo-denectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 398-402. doi: 10.7507/1007-9424.20160106 Copy

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