Laparoscopic pancreaticoduodenectomy surgery

01/04/2022 08:22

Recently, Mr. P.V.T (62 years old, Thai Binh) was examined at the Department of Hepatobiliary Surgery, Viet Duc University Hospital due to jaundice, emaciated and weight loss. After examining, the diagnosis of biliary obstruction caused by cancer of periampullary of Vater was established and he was indicated for laparoscopic surgery for removing whole the duodenum and head of the pancreas with the tumor. 

 

The surgical resection of the pancreaticoduodenal mass due to the tumor located at the Vater ampulla includes resection  surgical removal of the head of the pancreas also necessitates removal of the duodenum, proximal jejunum, gallbladder, and, occasionally, part of the stomach and radical lymph node dissection. After performing tumor resection, it is necessary to restore gastrointestinal function  through three anastomosis: pancreas – intestine, bile – intestine, stomach – intestine. This is a complex major surgery, with a high complication rate and challenge even in open surgery, requires experienced and skilled surgeons performing only in top surgical facilities.

 

Dr. Nguyen Hai Nam, Deputy Head of Department of Hepatobiliary Surgery, Viet Duc University Hospital, shared: Pancreatic duodenectomy with open surgery will leave a very long scar 20-25cm, and the postoperative recovery is often slow and painful. The main advantage of completed laparoscopic surgery is that it leaves only 4-6 incisions from 0.5-1cm on the abdomen, painless, the recovery time is earlier. With the support of the laparoscope, the surgeon can see clearly the structures of organs located deeply in the abdomen that are normally difficult to see, making the tumor removal process more convenient and thorough than open surgery.

 

 

Mr. T was the first patient discharged from the hospital in 2022 after a complete laparoscopic pancreaticoduodenectomy surgery performed at the Department of Hepatobiliary Surgery, Viet Duc University Hospital. Currently, there are only a few leading hospitals in Vietnam that can perform this technique because this is a very difficult, long operating time, and requires a team with skilled and experienced in both laparoscopic and hepatobiliary surgery. This is one of the most difficult surgeries in laparoscopic surgery.

 

The surgical team of the Department of Hepatobiliary Surgery, Viet Duc University Hospital, consisting of 7 doctors, performed laparoscopic pancreaticoduodenectomy with the support of modern facilities such as laparoscopic set, intestinal anastomosis and ultrasonic knife, meticulously and carefully for more than 8 hours. There is almost no bleeding during surgery and all anastomosis are done laparoscopically. After surgery, Mr. T’s health was completely stable, without any complications, only had to take pain relievers for the first 2 days. The patient was discharged in 9th days after surgery.