The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy

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dc.contributor.authorBattal, Muharrem
dc.contributor.authorYılmaz, Ahmet
dc.contributor.authorÖztürk, Gökmen
dc.contributor.authorKaratepe, Oğuzhan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:38Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:38Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000384291900008
dc.descriptionPubMed ID: 27251830
dc.description.abstractBackground: Recently, total laparoscopic pancreatectomy has been performed at many centres as an alternative to open surgery. In this study, we aimed to present the difficulties that we have encountered in converting from classic open pancreaticoduodenectomy to total laparoscopic pancreatectomy. Materials and Methods: Between December 2012 and January 2014, we had 100 open pancreaticoduodenectomies. Subsequently, we tried to perform total laparoscopic pancreaticoduodenectomy (TLPD) in 22 patients. In 17 of these 22 patients, we carried out the total laparoscopic procedure. We analysed the difficulties that we encountered converting to TLPD in three parts: Preoperative, operative and postoperative. Preoperative difficulties involved patient selection, preparation of operative instruments, and planning the operation. Operative difficulties involved the position of the trocars, dissection, and reconstruction problems. The postoperative difficulty involved follow-up of the patient. Results: According to our experiences, the most important problem is the proper selection of patients. Contrary to our previous thoughts, older patients who were in better condition were comparatively more appropriate candidates than younger patients. This is because the younger patients have generally soft pancreatic texture, which complicates the reconstruction. The main operative problems are trocar positions and maintaining the appropriate position of the camera, which requires continuous changes in its angles during the operation. However, postoperative follow-up is not very different from the classic procedure. Conclusion: TLPD is a suitable procedure under appropriate conditions.
dc.identifier.citationBattal, M., Yılmaz, A., Öztürk, G. ve Karatepe, O. (2016). The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. Journal of Minimal Access Surgery, 12(4), 338-341. https://dx.doi.org/10.4103/0972-9941.181385
dc.identifier.doi10.4103/0972-9941.181385
dc.identifier.endpage341
dc.identifier.issn0972-9941
dc.identifier.issn1998-3921
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage338
dc.identifier.urihttps://dx.doi.org/10.4103/0972-9941.181385
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3204
dc.identifier.volume12
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMedknow Publications and Media Pvt. Ltd.
dc.relation.ispartofJournal Of Minimal Access Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPancreatic Cancer
dc.subjectTotal Laparoscopic Pancreaticoduodenectomy
dc.subjectWhipple Procedure
dc.titleThe difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy
dc.typeArticle

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