Laparoscopic pancreatico-duodenectomy in Khyber Pakhtunkhwa province of Pakistan

Abstract

Background: Laparoscopic Pancreatico-duodenectomy is a technically challenging procedure that is slowly finding its way in routine clinical practice. We started on our Laparoscopic journey in April 2021 and have subsequently performed over 10 totally laparoscopic pancreatico-duodenectomies. We present a video presentation of our first laparoscopic Pancreatico-duodenectomy performed in khyber pakhtunkhwa province of Pakistan. Methods: Video presentation of Pancreatico-duodenectomy with modified blumgart technique. Results: Operative time was 7 hours. Blood loss was 230 mLs. There was no post operative complications including no clinically relevant pancreatic leak. Length of stay was 5 days. Post op histopathology showed Grade 2 neuroendocrine tumour with R0 margin. Conclusions: Laparoscopic Pancreatico-duodenectomy is feasible in a resource limited setting and may have a role in better patient recovery.