Laparoscopic pancreaticoduodenectomy with extended lymph node dissection

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s / Pancreatology 13 (2013) S1–S80 S63 ml). There was no conversion to open. 2 patients had developed pancreatic fistula (Grade A), which resolved spontaneously. In five of 7 patient (71.4%), R0 resection could be achieved, but the remaining two patients showed R1 resection. The mean numbers of retrieved lymph nodes were 17 (range, 9w40). The average postoperative hospital stay was 17.4 days (range, 7w47 days). Median follow up was 12 months (range, 6w33months). Peritoneal recurrence occurred in 2 patients. One of them died by primary disease. The remaining 5 patients are alive without recurrence. Conclusions: LDP for PDAC can be feasible, safe, and effective in highly selected patients. Clearly, a prospective, randomized study is needed to elucidate appropriate indications and effects of the present procedure.

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