Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Shubhanshu Gaurav
Sawai Man Singh Medical College, India
Scientific Tracks Abstracts: J Anesth Clin Res
Introduction & Aims: Pancreaticoduodenectomy is the preferred treatment of periampullary tumors. Our
objective is to assess the long-term outcome of laparoscopic pancreaticoduodenectomy and to identify
preoperative and intraoperative factors influencing the outcome.
Methods: All the patients diagnosed to have periampullary mass were consented and included in our study
randomly, irrespective of histology. CT scan with pancreatic protocol was performed in every patient for
preoperative workup along with routine blood investigations and liver functions. Demographic data, operative
time, intra operative complications, length of hospital stay, post-operative complications and pathologic
analysis of resected specimen were recorded. Patients with carcinoma head of pancreas, duodenum or
contraindicated otherwise were not included in our study.
Results: Ten patients underwent total laparoscopic pancreaticoduodenectomy for periampullary tumor.
There were three females and seven male patients with a mean age of 45 years. The mean operative time was
6 hours. Postoperatively, there were no complication and a mean length of post-operative hospital stay was
8 days. The histopathological result includes adenocarcinoma with negative resected margins and negative
nodes in all the patients.
Conclusion: Total laparoscopic pancreaticoduodenectomy is a better alternative to the standard Whipple
procedure with decreased length of hospital stay, quick recovery, improved quality of life, and lesser
complications.
Shubhanshu Gaurav is currently a Resident Doctor pursuing Post-graduation in General Surgery from Sawai Man Singh Medical College, Jaipur, India. He is a proactive and high performing professional with expertise in ICU management, trauma, critical care, tetanus and emergency surgeries. He has three publications to his credit.