Sequential layered dissection in radical pan-creatoduodenectomy
Author(s): BAO Shenghua, ZHANG Weidong, WANG Quan, CHEN Xiaopeng
Pages: 456-459
Year: 2013 Issue: 6
Journal: Acta Academiae Medicinae Wannan
Keyword: sequential layered dissection; radical pancreatoduodenec-tomy;
Abstract: Objective:To investigate the clinical value of applying se-quential layered dissection route to radical pancreatoduodenectomy . Methods: The clinical data were reviewed in 16 patients undergone pan-creatoduodenectomy between March 2010 and October 2012 in our depart-ment.Results: The total 16 patients went through successful operation . The mean operative time was 6.5 h,and mean intraoperative blood loss 200 ml.Dissection of the total number of lymph node and positive lymph node was respectively 24.2 and 3.6 on average.Average hospital stay was 22 days,and the total patients achieved level-A would healing after proce-dure except for occurrence of anastomosis fistula in one case.Conclusion:Applying sequential layered dissection route to radical pancreatoduode-nectomy may lead to standardized dissection of the lymph nodes ,reduced operative time and intraoperative blood loss as well as easy clearing of skeletonization of the vasculature in operation , which is worthy of wider clinical recommendation.
Pages: 456-459
Year: 2013 Issue: 6
Journal: Acta Academiae Medicinae Wannan
Keyword: sequential layered dissection; radical pancreatoduodenec-tomy;
Abstract: Objective:To investigate the clinical value of applying se-quential layered dissection route to radical pancreatoduodenectomy . Methods: The clinical data were reviewed in 16 patients undergone pan-creatoduodenectomy between March 2010 and October 2012 in our depart-ment.Results: The total 16 patients went through successful operation . The mean operative time was 6.5 h,and mean intraoperative blood loss 200 ml.Dissection of the total number of lymph node and positive lymph node was respectively 24.2 and 3.6 on average.Average hospital stay was 22 days,and the total patients achieved level-A would healing after proce-dure except for occurrence of anastomosis fistula in one case.Conclusion:Applying sequential layered dissection route to radical pancreatoduode-nectomy may lead to standardized dissection of the lymph nodes ,reduced operative time and intraoperative blood loss as well as easy clearing of skeletonization of the vasculature in operation , which is worthy of wider clinical recommendation.
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