Outcome of laparoscopy assisted pancreaticoduodenectomy at the department of gastrointestinal surgery, Viet Duc University Hospital

Abstract

Introduction:
Laparoscopic-assisted pancreaticoduodenectomy is a complex surgical procedure associated with a high rate of complications, particularly those arising from anastomotic leakage. The combination of laparoscopic dissection and resection with a mini-laparotomy for specimen retrieval and anastomosis construction is thought to potentially reduce perioperative morbidity.

Patients and Methods:
A cross-sectional descriptive case series was conducted involving 18 patients who underwent laparoscopically-assisted pancreaticoduodenectomy at the Department of Gastrointestinal Surgery, Viet Duc University Hospital, during the period from 2023 to 2025.

Results:
A total of 18 patients underwent laparoscopic-assisted pancreaticoduodenectomy. Among these, 55.6% were diagnosed with ampullary adenocarcinoma, 22.2% with solid pseudopapillary neoplasms of the pancreas, and 11.1% with pancreatic neuroendocrine tumors. The mean operative time was 352.44 ± 44.59 minutes. The average length of the mini-laparotomy incision was 6.78 ± 1.67 cm. Mean intraoperative blood loss was 163.89 ± 136.99 ml. Postoperative complications included pancreatic fistula (27.7%), postoperative hemorrhage (5.6%), bile leak (5.6%), chyle leak (5.6%), and gastrointestinal bleeding (5.6%). All patients were alive at the time of analysis. The average postoperative hospital stay was 11.33 ± 3.27 days. The rate of discharge with good outcomes was 50.0%.

Conclusions:
Laparoscopic-assisted pancreaticoduodenectomy is a safe alternative to open surgery and represents an appropriate transitional approach toward fully laparoscopic pancreaticoduodenectomy.

Keywords:
Pancreaticoduodenectomy, Laparoscopy assisted surgery, Ampulla of Vater.

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