Anesthesiology and Critical Care

Biography

Biography: Shubhanshu Gaurav

Abstract

Introduction & Aims: Pancreaticoduodenectomy is the preferred treatment of periampullary tumors. Our objective is to assess the long-term outcome of laparoscopic pancreaticoduodenectomy and to identify preoperative and intraoperative factors infl uencing the outcome. Methods: All the patients diagnosed to have periampullary mass were consented and included in our study randomly, irrespective of histology. CT scan with pancreatic protocol was performed in every patient for preoperative workup along with routine blood investigations and liver functions. Demographic data, operative time, intra operative complications, length of hospital stay, post-operative complications and pathologic analysis of resected specimen were recorded. Patients with carcinoma head of pancreas, duodenum or contraindicated otherwise were not included in our study. Results: Ten patients underwent total laparoscopic pancreaticoduodenectomy for periampullary tumor. Th ere were three females and seven male patients with a mean age of 45 years. Th e mean operative time was 6 hours. Postoperatively, there were no complication and a mean length of post-operative hospital stay was 8 days. Th e histopathological result includes adenocarcinoma with negative resected margins and negative nodes in all the patients. Conclusion: Total laparoscopic pancreaticoduodenectomy is a better alternative to the standard Whipple procedure with decreased length of hospital stay, quick recovery, improved quality of life, and lesser complications.