Annals of surgery · 2022
Laparoscopic Pancreaticoduodenectomy With Transanal Specimen Extraction for Periampullary Tumors.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Meng Haipeng, Wang Song, Liu Jinchao, Zhao Xu, Rong Zhen, Xu Yanling, Yu Gang
Аннотация
OBJECTIVE: To explore the possibility of LPD with transanal specimen extraction for periampullary tumors.
BACKGROUND: Natural orifice specimen extraction has been widely performed in colorectal surgery. But so far there is no report regarding natural orifice specimen extraction in LPD.
METHODS: Data of 3 patients who underwent LPD with transanal specimen extraction by the same surgeon between July 2018 and March 2019 due to periampullary tumors were evaluated retrospectively.
RESULTS: All patients underwent LPD with no conversion to open surgery. Specimens were all extracted transanally. No complications occurred except for delayed gastric emptying in 1 patient. The patients' anorectal function was intact and no opioids were required postoperatively. After a follow-up of 17-25 months, all patients were alive with no tumor recurrence.
CONCLUSION: Treatment of periampullary tumors by LPD with transanal specimen extraction is feasible and safe.
BACKGROUND: Natural orifice specimen extraction has been widely performed in colorectal surgery. But so far there is no report regarding natural orifice specimen extraction in LPD.
METHODS: Data of 3 patients who underwent LPD with transanal specimen extraction by the same surgeon between July 2018 and March 2019 due to periampullary tumors were evaluated retrospectively.
RESULTS: All patients underwent LPD with no conversion to open surgery. Specimens were all extracted transanally. No complications occurred except for delayed gastric emptying in 1 patient. The patients' anorectal function was intact and no opioids were required postoperatively. After a follow-up of 17-25 months, all patients were alive with no tumor recurrence.
CONCLUSION: Treatment of periampullary tumors by LPD with transanal specimen extraction is feasible and safe.