Initial experience of single-incision plus one port total laparoscopic pancreaticoduodenectomy

BMC Surgery

Research

Bing Peng¹  He Cai¹  Yunqiang Cai¹  Xin Wang¹  Man Zhang² 

[1] Department of General Surgery, Division of Pancreatic Surgery, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, 610041, Chengdu, Sichuan, China;Department of Minimal Invasive Surgery, Shangjin Nanfu Hosptial, Chengdu, China;

关键词: Pancreatoduodenectomy;    Laparoscopy;    Single-incision plus one port;    Pain score;    Cosmetic result;   

DOI  :  10.1186/s12893-023-02107-2

 received in 2023-04-27, accepted in 2023-07-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe use of single-incision plus one-port laparoscopic pancreaticoduodenectomy (SILPD + 1) has been never reported, and its safety and efficacy remain unknown. This study aimed to evaluate the short-term outcomes of SILPD + 1 compared with those of conventional laparoscopic pancreaticoduodenectomy (CLPD).MethodFifty-seven cases of laparoscopic pancreaticoduodenectomy (LPD) were performed between November 2021, and March 2022. Among them, 10 cases of LPD were performed using a single-incision plus one-port device. Based on the same inclusion and exclusion criteria, 47 cases of LPD performed using traditional 5-trocar were included as a control group. The patient’s demographic characteristics, intraoperative, and postoperative variables were prospectively collected and retrospectively analyzed.ResultsThree men and seven women were included in the SILPD + 1 group. All baseline parameters of both groups were comparable, except for age. Patients were younger in the SILPD + 1 group (47.2 ± 18.3 years vs. 60.6 ± 11.7 years, P = 0.05) than that in the CLPD group. Compared with the CLPD group, median operation time (222.5 (208.8–245.0) vs. 305.0 (256.0–37.0) min, P < 0.001) was shorter, median postoperative VAS scores on days 1–3 were lower, and median cosmetic score (21.0 (19.0–23.5) vs. 17.0 (16.0–20.0), P = 0.026) was higher one month after the surgery in the SILPD + 1 group. The estimated blood loss, conversion rate, blood-transfusion rate, exhaust time, time of drainage tube removal, postoperative hospital stays, and perioperative complications were comparable between the two groups.ConclusionIn a high-volume LPD center, SILPD + 1 is safe and feasible for well-selected patients without increasing the operation time and complications. It even has the advantages of reduced postoperative pain and improved cosmetic results.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 7

Fig. 2