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For: Nieuwenhuijs VB, de Klein GW, van Duijvendijk P, Patijn GA. Lessons Learned from the Introduction of Laparoscopic Pancreaticoduodenectomy. J Laparoendosc Adv Surg Tech A 2020;30:495-500. [PMID: 31971863 DOI: 10.1089/lap.2019.0695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open

For:	Nieuwenhuijs VB, de Klein GW, van Duijvendijk P, Patijn GA. Lessons Learned from the Introduction of Laparoscopic Pancreaticoduodenectomy. J Laparoendosc Adv Surg Tech A 2020;30:495-500. [PMID: 31971863 DOI: 10.1089/lap.2019.0695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open

Number

Cited by Other Article(s)

Chen J, Pham H, Li C, Nahm CB, Johnston E, Hollands MJ, Pang T, Pleass H, Lam V, Richardson A, Yuen L. Evolution of laparoscopic pancreaticoduodenectomy at Westmead Hospital. ANZ J Surg 2023;93:2648-2654. [PMID: 37772445 DOI: 10.1111/ans.18714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 09/16/2023] [Accepted: 09/19/2023] [Indexed: 09/30/2023]

Affiliation(s)

Ji Chen Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Helen Pham Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia
Crystal Li Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Christopher B Nahm Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia
Emma Johnston Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
Michael John Hollands Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
Tony Pang Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia
Henry Pleass Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia
Vincent Lam Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia Faculty of Medicine, Macquarie University, Sydney, New South Wales, Australia
Arthur Richardson Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia
Lawrence Yuen Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia Department of HPB and Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia Specialty of Surgery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia Surgical Innovations Unit, Westmead Hospital, Westmead, New South Wales, Australia

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Wang C, Qi R, Li H, Shi X. Comparison of Perioperative and Oncological Outcomes of Hybrid and Totally Laparoscopic Pancreatoduodenectomy. Med Sci Monit 2020;26:e924190. [PMID: 32335577 PMCID: PMC7199434 DOI: 10.12659/msm.924190] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open

Abstract

BACKGROUND Laparoscopic pancreatoduodenectomy (LPD) is a complicated procedure accompanied with high morbidity. Hybrid LPD is usually used as an alternative/transitional approach. This study aimed to prove whether the hybrid procedure is a safe procedure during a surgeon's learning curve of LPD. MATERIAL AND METHODS There were 48 hybrid LPD patients and 62 TLPD patients selected from January 2016 to December 2018; their demographics, surgical outcomes, and oncological data were retrospectively collected. Patient follow-up for the study continued until February 2020. RESULTS Patient demographics and baseline parameters were well balanced between the 2 groups. Intraoperative conditions, overall operation time was shorter for TLPD compared to hybrid LPD (407.79 minutes versus 453.29 minutes, respectively; P=0.035) and blood loss was less in TLPD patients compared to hybrid LPD patients (100.00 mL versus 300.00 mL, respectively; P<0.001). There was no difference in transfusion rates between the 2 groups (hybrid LPD 16.7% versus TLPD 4.8%; P=0.084). Postoperative outcomes and intensive care unit (ICU) stay was longer in the hybrid LPD patient group (hybrid LPD 1-day versus TLPD 0-day, P=0.002) and postoperative hospital stay was similar between the 2 groups (P=0.503). Reoperation rates, in-hospital, 30-day mortality, and 90-day mortality rates were comparable between the 2 groups (P=0.276, 1.000, 1.000, 0.884, respectively). Surgical site infection, bile leak, Clavien-Dindo classification (CDC) ≥3, delayed gastric emptying, grade B/C postoperative pancreatic fistulae, and grade B/C post pancreatectomy hemorrhage were not different between the 2 groups (P=0.526, 0.463, 0.220, 0.089, 0.165, 0.757, respectively). The tumor size, margin status, lymph nodes harvested, and metastasis were similar in the 2 groups (P=0.767, 0.438, 0.414, 0.424, respectively). In addition, the median overall survival rates were comparable between the 2 groups (hybrid LPD 29.0 months versus TLPD 30.0 months, P=0.996) as were the progression-free survival rates (hybrid LPD 11.0 months versus TLPD 12.0 months, P=0.373) CONCLUSIONS Hybrid LPD was comparable to TLPD. Hybrid LPD could be performed safely when some surgeons first started LPD (during the operative learning curve), while for skilled surgeons, TLPD could be applied initially.

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