关键词: 腹腔镜, 胰十二指肠切除术, 钩突

Abstract:

Uncinate process resection via anterior “vein-first” combined with right posterior “artery-first” approach in laparoscopic pancreaticoduodenectomy: An analysis of 35 cases        LIN Rong-gui, HUANG He-guang, CHEN Yan-chang, et al. Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China
Corresponding author: HUANG He-guang, E-mail: Heguanghuang2@163.com
Abstract    Objective    To evaluate the clinical application and experience of uncinate process resection via anterior “vein-first” combined with right posterior “artery-first” approach in laparoscopic pancreaticoduodenectomy. Methods A retrospective study was performed to analyze the clinical data of 35 patients with periampullary tumors who underwent laparoscopic pancreaticoduodenectomy at the Department of General Surgery, Fujian Medical University Union Hospital between March 2017 and October 2017. Results    All operations were performed successfully. An assisted incision was adapted in 1 patient to separate the tight adhesion between tumor and portal vein-superior mesenteric vein. Mean time of specimen resection was (125.6±21.3) min and mean blood loss was  (150.0±34.6) mL. Postoperative complications included pancreatic fistula (5 cases，B grade), biliary fistula (1 case), abdominal infection (3 cases), intra-abdominal hemorrhage (1 case), delayed gastric emptying (1 case). Mean duration of postoperative hospital stay was (12.9±3.2) d. Conclusion    Anterior “vein-first” combined with right posterior “artery-first” approach is a safe and feasible technique for uncinate process resection in laparoscopic pancreaticoduodenectomy.

Key words: laparoscope, pancreaticoduodenectomy, uncinate process