Laparoscopic versus open pylorus-preserving pancreatoduodenectomy. The first meta-analyse of retrospective matched cases

Abstract

Results: Two studies matched the selection criteria, including 108 (50%) cases of laparoscopic pylorus-preserving pancreaticoduodenectomy and 108(50%) cases of open pyloruspreserving pancreaticoduodenectomy. None of the included studies were randomized, which were both retrospective matched cases. There was no difference in the incidence of postoperative pancreatic fistula, blood loss, diet start and lymph nodes. However, L-PPPD has a shorter hospital stay (p=0.0003) and O-PPPD has a shorter operative time (p=0.02) and tend to decrease the delayed gastric emptying. Conclusions:The perioperative safety of laparoscopic surgery, which also has advantages of minimal invasion and shorter hospital stay, is comparable to that of open surgery. Laparoscopic surgery could be operated if the patients matched the indication and operation difficulty is not so great. However, blind pursuits of L-PPPD should be restrained because there is no essential difference between these two in terms of feasibility, safety and short-term complication.

Repair of the portal vein using a hepatic ligamentum teres patch for laparoscopic pancreatoduodenectomy: A case report

“…For patients with tumor invasion of the portal vein/SMV, the range of LPD resection and dissection can reach the standard PD level[16-18]. The incidence of postoperative complications and mortality are not significantly increased, giving LPD a certain advantage over PD[19]. The possibilities of complications, such as portal vein stenosis and portal vein thrombosis, were found after the operation.…”

A technical note on low cost rat laparoscopy an initial experience

“…Laparoscopy is now the gold standard method for various operations of the digestive, urinary, endocrine and reproductive tract. Their acceptance and consistency of results are accompanied by the development of instruments that enable and facilitate an increasing number of procedures [1][2][3] . However, the cost of this technology 12 creates several limitations that hamper the development of experimental models, especially in small animals.…”

“…Several complex open surgical techniques can now be performed by minimally invasive surgery. In most clinical trials, higher operating theatre cost is offset by shorter hospital stays, less medication requirements, shorter periods of convalescence, and faster return to work and to normal activity 2,3 .…”

“…The usual set to perform the method presume the availability of (01) monitor, (2) micro camera, (3) image processor, (4) light source, (5) laparoscope and (6) insufflator. The set of instruments proposed in the present study replaced all six items aforementioned and was composed by (1) Android 10.5" Tablet, (2) 5mm USB Endoscope and (3) semiautomatic sphygmomanometer monitor (Figure 1).…”

Προγνωστικοί Δείκτες Στον Καρκίνο Του Παγκρέατος Και Συσχετισμός Τους Με Επιπλοκές Και Επιβίωση

“…296,297 Παρόλα αυτά, η εξειδίκευση στη λαπαροσκοπική χειρουργική του παγκρέατος οδήγησε σε βελτίωση των αποτελεσμάτων, όπως ανέδειξαν και δύο πρόσφατες μετα-αναλύσεις. 298,299…”