Is there a significance of 1 mm margin status following pancreaticoduodenectomy in carcinoma head of pancreas?

Abstract

large lesions can be laparoscopic management of left sided lesions. This aim of this study is to assess the impact of size on the feasibility and safety of lesions in the left pancreas. Methods: A retrospective collected database of patient undergoing LLP between June 2007 and June 2015 was reviewed. Data was divided into 2 groups according the size of the lesion, group A lesions >5 cm and group B lesions >5 cm. Results: A total of 105 LDP were performed. There were 73 patients (69.5%) in group A (mean size: 26.9 mm) and 32 patients (30.5%) in group B (mean size: 76.42 mm).The two groups were similar in Operation time (p = 0.662), blood loss (p = 0.728), length of stay (p = 0.586), length of specimen (p = 0.77) and post operative complications (p = 0.53). Large tumours showed higher conversion rate 0% vs 6.2% (p = 0.009). Conclusion: LDP for Large lesions is feasible and safe. However a higher conversion rate should be expected.