Anesthesia & Clinical Research
Open Access

Total laparoscopic pancreaticoduodenectomy for periampullary tumors: A study of ten cases

Joint Event on 2^nd World Congress on Surgeons & 12^th International Conference on Anesthesiology and Critical Care

November 11-12, 2019 | Istanbul, Turkey

Shubhanshu Gaurav

Sawai Man Singh Medical College, India

Scientific Tracks Abstracts: J Anesth Clin Res

Abstract :

Introduction & Aims: Pancreaticoduodenectomy is the preferred treatment of periampullary tumors. Our objective is to assess the long-term outcome of laparoscopic pancreaticoduodenectomy and to identify preoperative and intraoperative factors influencing the outcome.

Methods: All the patients diagnosed to have periampullary mass were consented and included in our study randomly, irrespective of histology. CT scan with pancreatic protocol was performed in every patient for preoperative workup along with routine blood investigations and liver functions. Demographic data, operative time, intra operative complications, length of hospital stay, post-operative complications and pathologic analysis of resected specimen were recorded. Patients with carcinoma head of pancreas, duodenum or contraindicated otherwise were not included in our study.

Results: Ten patients underwent total laparoscopic pancreaticoduodenectomy for periampullary tumor. There were three females and seven male patients with a mean age of 45 years. The mean operative time was 6 hours. Postoperatively, there were no complication and a mean length of post-operative hospital stay was 8 days. The histopathological result includes adenocarcinoma with negative resected margins and negative nodes in all the patients.

Conclusion: Total laparoscopic pancreaticoduodenectomy is a better alternative to the standard Whipple procedure with decreased length of hospital stay, quick recovery, improved quality of life, and lesser complications.

Biography :

Shubhanshu Gaurav is currently a Resident Doctor pursuing Post-graduation in General Surgery from Sawai Man Singh Medical College, Jaipur, India. He is a proactive and high performing professional with expertise in ICU management, trauma, critical care, tetanus and emergency surgeries. He has three publications to his credit.