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SAS Journal of Surgery | Volume-5 | Issue-08
Comparision of Laprascopic Versus Open Whipple’s (Pancreaticoduodenectomy) Surgery in a Tertiary Care Hospital
Lucinda Saju, Rakesh RAI, Ganesh MK, Nagarjun
Published: Aug. 19, 2019 | 175 90
DOI: 10.21276/sasjs.2019.5.8.3
Pages: 315-324
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Abstract
Surgical procedures such as minimal access surgeries have evolved to include complex surgical procedures. Surgeries such as laproscopic pancreaticoduodenectomy are a complex operation and surgeons have been slow to adopt. This study reviews our experience with patients undergoing laprascopic pancreaticoduodenectomy and compares its outcome with patients undergoing open pancreaticoduodenectomy. Results: A sample size of 20 patients were taken including laprascopic and open pancreaticoduodenectomy group and results were calculated with Students ‟t‟ test, Fisher‟s Exact test, and the chi-square test, a P value of <0.001 was considered significant. This study is done to compare the results of laparoscopic and open pancreaticoduodenectomy in term of age, sex, Mean duration of surgery, Intraoperative blood loss, pancreatic fistula, pancreatic duct size, Lymphovascular invasion. Pathological classification of tumors, Stage of disease. Postoperative ICU stay, Postoperative hospital stay, 1 year follow up. In the study, while comparing the laparoscopic and open pancreaticoduodenectomy groups it was seen that patients who underwent Laparoscopic repair experienced less blood loss, reduced mean duration of hospital stay and ICU stay and postoperative hospital Stay. However, the mean duration of surgery was high in laparoscopic group compared to open group patients.