Total laparoscopic pancreatoduodenectomy for duodenal papilla carcinoma

Background: Advances in surgical technique and increase in surgeon’s experience have made total laparoscopic pancreatoduodenectomy (TLPD) a substantially safer procedure. This study aimed to report our successful experiences of TLPD for the treatment of duodenal papilla carcinoma. Methods: Retrospective review of 4 patients who underwent TLPD between November 2013 and December 2014 was performed. The outcomes of these patients were analyzed. Results: TLPD was accomplished successfully. The mean operative time was 367 minutes. The mean blood loss was 248 ml. The median lymph node count was 16.5. The median length of hospital stay was 16 days. Postoperative morbidity included 1 case of mild pancreatic leak and 1 case of pneumonia. The overall incidence of postoperative complications was 50%. There were no perioperative deaths. Conclusion: TLPD is a feasible, safe and effective method for treatment of duodenal papilla carcinoma.