Duodenopancreatectomía laparoscópica: reporte inicial y seguimiento a largo plazo, experiencia de un hospital general

Abstract

Laparotomy has been the classic approach for surgical management of periampullary tumors due to anatomical complexity, several vascular structures, reconstruction, several hours in the OR and requires expertise in pancreatic surgery. Objective: Review results of an initial experience in the management of periampullary tumors with minimally invasive surgery with curative intent. Material and method: This retrospective and descriptive study included
6 patients with clinically resectable periampullary tumors admitted between May 2014 and August 2017. They were followed up to date. Results: Patients were 58.4 years old in average, 4 had a tumor in the head of pancreas and 2 in the ampulla of Vater. The average time of surgery was 642 minutes. Hospital stay for these patients was 24.3 days in average. No patient required perioperative blood transfusions nor reoperation. After follow-up, survival time is as expected for theses pathologies. Conclusion: Laparoscopic pancreatoduodenectomy can be performed by a surgical team with expertise in pancreatic surgery and advanced laparoscopic skills, with results comparable to current standards.
This surgical experience was carried out in a general hospital allowing us to say it is reproducible and feasible.