25. Total laparoscopic pancreaticoduodenectomy: The first case report at Bach Mai Hospital and literature review on indications and results

Nguyen Ham Hoi, Nguyen Thanh Khiem, Dang Kim Khue, Le Van Duy, Trinh Hong Son, Nguyen Dang Vung

Main Article Content

Abstract

Laparoscopic surgery is increasingly replacing classic open surgery. Total laparoscopic pancreaticoduodenectomy (TLPD) has also gradually performed at many centers in the world and Vietnam, but the number is still modest. We hereby report the first successful total laparoscopic pancreaticoduodenectomy case performed at Bach Mai Hospital and review the medical literature on indications and results. This is a 64-year-old female patient, diagnosed with ampulla of Vater cancer (T3N0M0) underwent total laparoscopic unbloc-pancreaticoduodenectomy. Surgical time was 540 minutes, with blood loss of 150ml. Patient had postoperative intra-abdominal bleeding on day 4, was stabilized with medical treatment. The patient was discharged on the 23rd day with no other complication. Postoperative pathological result: adenocarcinoma, metastasis in 4/32 lymph nodes (T3bN2M0). This case shows that a total laparoscopic pancreaticoduodenectomy can be performed safely and has good oncological result with resectable periambullary tumors.

Article Details

References

1. M. Garner, Pomp A. Laparoscopic pylorus preserving pancreatoduodenectomy. Surg Endosc. 1994;8:408-410.
2. Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc. 2015;29(1):9-23.
3. Cai Y, Gao P, Li Y, et al. Laparoscopic pancreaticoduodenectomy with major venous resection and reconstruction: anterior superior mesenteric artery first approach. Surg Endosc. 2018;32(10):4209-4215.
4. Morales E, Zimmitti G, Codignola C, et al. Follow "the superior mesenteric artery": laparoscopic approach for total mesopancreas excision during pancreaticoduodenectomy. Surg Endosc. 2019;33(12):4186-4191.
5. Trần Hiếu Học, Trần Quế Sơn, Trần Mạnh Hùng, và cs. Phẫu thuật nội soi hỗ trợ cắt khối tá tràng đầu tuỵ điều trị u vùng bóng Vater. Tạp chí Phẫu thuật nội soi và nội soi Việt Nam. 2018;1(8).
6. Mazzola M, Morini L, Maspero M, et al. Laparoscopic Pancreatoduodenectomy 2. Advanced Endoscopy. 2019.
7. Michael L. Kendrick ML, Daniel MD. Total laparoscopic Pancreaticoduodenectomy. feasibility and outcome in an early experience. Arch Surg. 2010;145(1):19-23.
8. Umemura A, Nitta H, Takahara T, et al. Current status of laparoscopic pancreaticoduodenectomy and pancreatectomy. Asian J Surg. 2018;41(2):106-114.
9. Buchs NC, Addeo P, Bianco FM, et al. Outcomes of robot-assisted pancreaticoduodenectomy in patients older than 70 years: a comparative study. World J Surg. 2010;34(9):2109-2114.
10. Choi M, Hwang HK, Lee WJ, et al. Total laparoscopic pancreaticoduodenectomy in patients with periampullary tumors: a learning curve analysis. Surg Endosc. 2020.
11. Kang CM, Lee WJ. Is Laparoscopic Pancreaticoduodenectomy Feasible for Pancreatic Ductal Adenocarcinoma? Cancers (Basel). 2020;12(11).
12. Sameer AR, Ketan FK, Jayati JC, et al. Total Laparoscopic Pancreaticoduodenectomy. A Single-center Experience of 33 Cases in Patients with Periampullary Tumor Lessons Learnt. World Journal of Laparoscopic Surgery. 2020;13(2).
13. Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc. 2013;27(1): 95-103.
14. Nguyễn Hoàng Bắc, Trần Công Duy Long, Nguyễn Đức Thuận, và cs. Phẫu thuật nội soi cắt khối tá tuỵ điều trị ung thư quan bóng Vater. Tạp chí Y học TP Hồ Chí Minh. 2013;17(1):88-93.
15. Azagra JS, Arru L, Estevez S, et al. Pure laparoscopic pancreatoduodenectomy with initial approach to the superior mesenteric artery. Wideochir Inne Tech Maloinwazyjne. 2015;10(3):450-457.
16. Tian F, Wang YZ, Hua SR, et al. Laparoscopic assisted pancreaticoduodenectomy: an important link in the process of transition from open to total laparoscopic pancreaticoduodenectomy. BMC Surg. 2020;20(1):89.
17. Li Z, Wei A, Xia N, et al. Blumgart anastomosis reduces the incidence of pancreatic fistula after pancreaticoduodenectomy: a systematic review and meta-analysis. Sci Rep. 2020;10(1):17896.
18. Gumbs AA, Rodriguez Rivera AM, Milone L, et al. Laparoscopic pancreatoduodenectomy: a review of 285 published cases. Ann Surg Oncol. 2011;18(5):1335-1341.
19. Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007;142(1):20-25.
20. Chen SC, Shyr YM, Chou SC, et al. The role of lymph nodes in predicting the prognosis of ampullary carcinoma after curative resection. World J Surg Oncol. 2015;13:224.
21. Chen K, Pan Y, Mou Y-p, et al. Total laparoscopic versus open pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: a propensity score matching analysis with meta-analysis. BMC Cancer. 2021;21(382):1-25.