Article
Surgery
Yi Wu, Nuerabula Wujimaimaiti, Jingxiong Yuan, Shizhen Li, Hang Zhang, Min Wang, Renyi Qin
Summary: This study identified the risk factors for achieving textbook outcome (TO) after laparoscopic duodenum-preserving total pancreatic head resection (LDPPHR-t). Placing an endoscopic nasobiliary drainage (ENBD) catheter and prolonged operation time were major obstacles to achieving TO after LDPPHR-t.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Surgery
Yunqiang Cai, Zhenjiang Zheng, Pan Gao, Yongbin Li, Bing Peng
Summary: This study included 9 male patients and 15 female patients with a median age of 43 years. All patients underwent duodenum-preserving total pancreatic head resection laparoscopically. The median operative time was 255 min, median estimated blood loss was 200 ml, and median post-operative hospital stay was 10 days. Three patients had biliary fistula, and eleven patients had pancreatic fistula, with only one being grade B.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Xueqing Liu, Zixuan Hu, Xinbo Zhou, Jianzhang Qin, Zhongqiang Xing, Yunfei Liang, Jiayue Duan, Jia Liu, Jianhua Liu
Summary: A study was conducted on laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) in 64 patients. The average operation time was 275 minutes and the average postoperative hospital stay was 12 days. The incidence of pancreatic fistula was 10.9% and that of biliary fistula was 9.4%.
Article
Surgery
Guangchen Zu, Weibo Chen, Di Wu, Yue Zhang, Xuemin Chen
Summary: The study analyzed the clinical outcomes of minimally invasive duodenum-preserving pancreatic head resection (DPPHRt) for benign lesions and low-grade malignant tumors of the pancreatic head. The results showed that both robot-assisted and laparoscopic procedures were successful in preserving organs and achieving treatment goals, but there were also complications associated with the surgery.
Article
Gastroenterology & Hepatology
Kevin M. Turner, Aaron M. Delman, Michael E. Johnston Johnston II, Dennis Hanseman, Gregory C. Wilson, Syed A. Ahmad, Sameer H. Patel
Summary: This study aimed to compare the rates of treatment for post-operative exocrine pancreatic insufficiency (EPI) and diabetes mellitus (DM) in patients with chronic pancreatitis who underwent Duodenal Preserving Pancreatic Head Resections (DPPHR) and Pancreaticoduodenectomy (PD). The results showed that the DPPHR group had a lower rate of new persistent treatment for EPI post-operatively compared to the PD group. There was no difference in the rate of new onset DM between the two groups. Additionally, both groups had similar efficacy in terms of pain control.
Article
Medicine, General & Internal
Sebastian Hempel, Florian Oehme, Florian Ehehalt, Michele Solimena, Fiona R. Kolbinger, Andreas Bogner, Thilo Welsch, Juergen Weitz, Marius Distler
Summary: Pancreatic head resections do not significantly affect glucose metabolism in patients with chronic pancreatitis.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Oleksandr Usenko, Igor Khomiak, Andrii Khomiak, Andrii Malik, Vladislav Kropelnytskyi, Mark Krol
Summary: The outcomes of surgical treatment of patients with PDP using pancreatoduodenectomy and duodenum-preserving pancreatic head resection (DPPHR) were compared. The results showed that DPPHR achieved similar results in pain control as PD with a lower complication rate and shorter hospital length of stay.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Surgery
Kai Bachmann, Nathaniel Melling, Rainer Groteluschen, Anne Fleischauer, Matthias Reeh, Tarik Ghadban, Max Bockhorn, Jakob R. Izbicki
Summary: This study analyzed clinicopathologic findings and outcomes of 1146 patients undergoing surgical treatment for chronic pancreatitis, identifying factors like the presence of inflammatory mass, dilated main pancreatic duct, severe calcifications, severe fibrosis, and ethanol-induced disease as strong prognostic factors for pain relief. The Chronic Pancreatitis Pain Relief Score was proposed as a predictive tool for identifying patients who will benefit most from surgery, with an overall pain relief rate of 79.8%.
Article
Surgery
Min Zhou, Simiao Xu, Dang Chao, Min Wang, Feng Zhu, Feng Peng, Hang Zhang, Xingjun Guo, Xu Li, Ruizhi He, Jikuan Jin, Yi Wu, Yang Gao, Yechen Feng, Renyi Qin
Summary: This study introduces a new surgical approach for laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) and evaluates its feasibility and safety in treating pancreatic head tumors. Thirty patients underwent the surgery successfully with a low complication rate and no biliary tract injury or duodenal leakage observed. The operative mortality rate was 0%.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Zhaozhi Xia, Shuchao Zhao, Xin Gao, Hongrui Sun, Faji Yang, Huaqiang Zhu, Hengjun Gao, Jun Lu, Xu Zhou
Summary: This study aimed to investigate the short-term clinical outcomes of laparoscopic duodenum-preserving pancreatic-head resection (LDPPHR) for the management of pancreatic-head cystic neoplasms. The results showed that LDPPHR can decrease the postoperative exhaust time of patients, improve the short-term postoperative nutritional status, and does not decrease the safety of the perioperative period compared with laparoscopic pancreaticoduodenectomy (LPD).
Article
Surgery
Wei Liu, Bing Peng
Summary: This study compared the curative efficacy and outcomes of laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) and laparoscopic pancreaticoduodenectomy (LPD) for pancreatic-head intraductal papillary mucinous neoplasm (IPMN). The results showed that the perioperative outcomes were similar between the two procedures, but LDPPHRt had better quality of life after surgery.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Yuanbiao Zhang, Jungang Zhang, Kai Jiang, Weiding Wu
Summary: This study reported an intraoperative angiography technique using ICG fluorescence imaging to visualize blood flow, tissue perfusion, CBD navigation, and bile leakage assessment during DPPHR surgery.
JOURNAL OF MINIMAL ACCESS SURGERY
(2022)
Review
Gastroenterology & Hepatology
Hans G. Beger, Benjamin Mayer, Bertram Poch
Summary: DPPHR is associated with fewer surgery-related complications and lower in-hospital mortality compared to PD for benign pancreatic tumors. Tailored use of DPPHRt or DPPHRp contributes to a reduction in surgery-related complications. DPPHR has the potential to replace PD for benign tumors of the pancreatic head.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Medicine, General & Internal
Xiao-Li Li, Lian-Sheng Gong
Summary: This article reports the successful short- and long-term outcomes after one year following laparoscopic duodenum-preserving pancreatic head resection (LDPPHR) for a 60-year-old female patient. The improved LDPPHR procedure includes preoperative 3D model reconstruction and the use of intravenous indocyanine green fluorescent for real-time navigation with fluorescent display to guide the surgical dissection and prevent injury to vessels and biliary tract.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Article
Surgery
Masaaki Murakawa, Yuto Kamioka, Shinnosuke Kawahara, Naoto Yamamoto, Satoshi Kobayashi, Makoto Ueno, Manabu Morimoto, Hiroshi Tamagawa, Takashi Ohshima, Norio Yukawa, Yasushi Rino, Munetaka Masuda, Soichiro Morinaga
Summary: This study found an association between postoperative acute pancreatitis (POAP) and postoperative pancreatic fistula (POPF), as well as other postoperative complications and prolonged hospital stay.
LANGENBECKS ARCHIVES OF SURGERY
(2022)