Laparoscopic Pancreaticoduodenectomy (Whipple Procedure)

2020 ◽  
pp. 247-252
Author(s):  
Mayank Roy ◽  
Armando Rosales ◽  
Omobolanle Oyefule ◽  
Conrad H. Simpfendorfer
Keyword(s):  
Whipple Procedure ◽  
Laparoscopic Pancreaticoduodenectomy

scholarly journals Dynamic prediction for clinically relevant pancreatic fistula: a novel prediction model for laparoscopic pancreaticoduodenectomy

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Runwen Liu ◽  
Yunqiang Cai ◽  
He Cai ◽  
Yajia Lan ◽  
Lingwei Meng ◽  
...  
Keyword(s):  
Prediction Model ◽  
Pancreatic Fistula ◽  
Postoperative Pancreatic Fistula ◽  
Laparoscopic Pancreaticoduodenectomy ◽  
C Reactive Protein ◽  
Dynamic Prediction ◽  
Albumin Ratio ◽  
Drainage Fluid ◽  
Reactive Protein ◽  
Baseline Factors

Abstract Background With the recent emerge of dynamic prediction model on the use of diabetes, cardiovascular diseases and renal failure, and its advantage of providing timely predicted results according to the fluctuation of the condition of the patients, we aim to develop a dynamic prediction model with its corresponding risk assessment chart for clinically relevant postoperative pancreatic fistula after laparoscopic pancreaticoduodenectomy by combining baseline factors and postoperative time-relevant drainage fluid amylase level and C-reactive protein-to-albumin ratio. Methods We collected data of 251 patients undergoing LPD at West China Hospital of Sichuan University from January 2016 to April 2019. We extracted preoperative and intraoperative baseline factors and time-window of postoperative drainage fluid amylase and C-reactive protein-to-albumin ratio relevant to clinically relevant pancreatic fistula by performing univariate and multivariate analyses, developing a time-relevant logistic model with the evaluation of its discrimination ability. We also established a risk assessment chart in each time-point. Results The proportion of the patients who developed clinically relevant postoperative pancreatic fistula after laparoscopic pancreaticoduodenectomy was 7.6% (19/251); preoperative albumin and creatine levels, as well as drainage fluid amylase and C-reactive protein-to-albumin ratio on postoperative days 2, 3, and 5, were the independent risk factors for clinically relevant postoperative pancreatic fistula. The cut-off points of the prediction value of each time-relevant logistic model were 14.0% (sensitivity: 81.9%, specificity: 86.5%), 8.3% (sensitivity: 85.7%, specificity: 79.1%), and 7.4% (sensitivity: 76.9%, specificity: 85.9%) on postoperative days 2, 3, and 5, respectively, the area under the receiver operating characteristic curve was 0.866 (95% CI 0.737–0.996), 0.896 (95% CI 0.814–0.978), and 0.888 (95% CI 0.806–0.971), respectively. Conclusions The dynamic prediction model for clinically relevant postoperative pancreatic fistula has a good to very good discriminative ability and predictive accuracy. Patients whose predictive values were above 14.0%, 8.3%, and 7.5% on postoperative days 2, 3, and 5 would be very likely to develop clinically relevant postoperative pancreatic fistula after laparoscopic pancreaticoduodenectomy.

scholarly journals The Outcome of Laparoscopic Pancreaticoduodenectomy Is Improved with the Learning Curve and Patients' Selection. Analysis in 130 Patients

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S75
Author(s):  
S. Dokmak ◽  
B. Aussilhou ◽  
F.S. Ftériche ◽  
O. Soubrane ◽  
A. Sauvanet
Keyword(s):  
Learning Curve ◽  
Laparoscopic Pancreaticoduodenectomy ◽  
Selection Analysis

scholarly journals Laparoscopic pancreaticoduodenectomy for metastatic pancreatic melanoma

Medicine ◽  
2018 ◽  
Vol 97 (44) ◽  
pp. e12940 ◽  
Author(s):  
Xueqing Liu ◽  
Feng Feng ◽  
Tianyang Wang ◽  
Jianzhang Qin ◽  
Xiangyan Yin ◽  
...  
Keyword(s):  
Laparoscopic Pancreaticoduodenectomy

Modified end-to-side double-layer open pancreaticogastrostomy after Whipple procedure: surgical tips for a safe anastomosis

2018 ◽  
Vol 70 (1) ◽  
pp. 137-141
Author(s):  
Raffaele Dalla Valle ◽  
Matteo Rossini ◽  
Laura Lamecchi ◽  
Maurizio Iaria
Keyword(s):  
Double Layer ◽  
Whipple Procedure

scholarly journals Whipple procedure: patient selection and special considerations

2016 ◽  
Vol Volume 9 ◽  
pp. 51-63
Author(s):  
Clara Tan-Tam ◽  
Maja Segedi ◽  
Stephen Chung
Keyword(s):  
Patient Selection ◽  
Whipple Procedure

Laparoscopic pancreaticoduodenectomy: experience of 22 cases

2013 ◽  
Vol 27 (6) ◽  
pp. 2131-2136 ◽  
Author(s):  
Francesco Corcione ◽  
Felice Pirozzi ◽  
Diego Cuccurullo ◽  
Domenico Piccolboni ◽  
Valerio Caracino ◽  
...  
Keyword(s):  
Laparoscopic Pancreaticoduodenectomy

Laparoscopic Pancreaticoduodenectomy: Right Posterior Superior Mesenteric Artery “First” Approach

2015 ◽  
Vol 22 (S3) ◽  
pp. 345-348 ◽  
Author(s):  
Gabriella Pittau ◽  
Santiago Sànchez-Cabùs ◽  
Andrea Laurenzi ◽  
Maximiliano Gelli ◽  
Antonio Sa Cunha
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Laparoscopic Pancreaticoduodenectomy ◽  
Artery First
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