Laparoscopic Pancreaticoduodenectomy With Transanal Specimen Extraction for Periampullary Tumors.

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.