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A Comparsion of Posterior Approach Laparoscopic Pancreaticoduodenctomy and Tradtional Pancreaticoduodenctomy
Author(s): 
Pages: 27-32
Year: Issue:  7
Journal: Guangdong Trace Elements Science

Keyword:  laparoscopeposterior approachpancreaticoduodenectomy;
Abstract: Objective To evaluate the effectivenss of posterior approach laparoscopic pancreaticoduodenctomy versus tradtional pancreaticoduodenctomy and study operation method and safety and feasiblity of posterior approach laparoscopic pancreaticoduodenctomy. Methods From april 2012 to march 2014,a group of 15 patients underwent posterior approach laparoscopic pancreaticoduodenctomy and another group of 15 patients underwent tradtional pancreaticoduodenctomy. The related outcomes of the two groups were compared with intraoperative and postoperative indicators. Results The laparoscopic group had significantly longer operation time [( 524 ± 77) min vs( 358 ± 72) min( t =6. 093,P = 0. 001) ] and had significantly shorter intraoperative blood loss and intraoperative blood transfusion [( 313 ± 101) m L vs( 417 ± 100) m L,t =- 2. 828,P = 0. 017;( 1. 2 ± 1. 0) U vs( 2. 2± 0. 6) U,t =- 3. 697,P = 0. 001] and had significantly more the number of dissected lymph nodes[( 17. 2 ± 4. 5) vs( 12. 8 ± 4. 9)( t = 2. 547,P = 0. 017) ]. No significantly differences were detected in ICU hospital stay,exhaust time, eating time of mouth,postoperative hospital stay,postoperative complications and R0 resection rate. Conclusion Posterior approach laparoscopic pancreaticoduodenctomy is a safe and feasible operation method compared with tradtional pancreaticoduodenctomy. The recent effect of operation is good.
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