Resumo

AL AWAD, Adel; RAMIREZ, Alfredo José  e  VALERA GARCIA, Vianny G. LAPAROSCOPIC DUODENOPANCREATECTOMY: EVOLUTION OF THE FIRST CASES IN VENEZUELA. RevVenezCir [online]. 2023, vol.76, n.1, pp.4-9.  Epub 09-Maio-2024. ISSN 0378-6420.  https://doi.org/10.48104/rvc.2023.76.1.3.

Duodenopancreatectomy is the only option with curative criteria of the periampullary tumors and pancreatic head. The minimally invasive approach has shown its benefits in cephalic duodenopancreatectomy which has led to greater interest worldwide in this technique. The objective is to describe the technique used and analyze the evolution presented by the first cases of laparoscopic duodenopancreatectomy and thus publicize our experience, it is a retrospective, descriptive, cross-sectional study; 106 medical records were reviewed, obtaining 8 cases for this study: 5 women and 3 men, the average age and the time of evolution of the disease were 54.15 years and 7 months, the indication was 4 pancreas head and 4 periampullary tumors, the average body mass index was 23, 44 kg/mt2, assisted surgery was performed in 4 patients and 4 totally laparoscopic, the surgical time ranged between 315 - 475 min, and the hospital stay was 4 - 24 days, the blood loss was 200cc ± 20cc, three patients presented mediated postoperative complications. In conclusion, the results we have observed in our initial case report of laparoscopic duodenopancreatectomy meet the characteristics of other similar publications and the benefits of this approach are ratified, the key to routine laparoscopic duodenopancreatectomy is that it is performed in specialized centers, with standardized protocols, executed by surgeons with experience in advanced laparoscopy in addition to hepatobiliary and pancreatic surgery.

Palavras-chave : Pancreas; duodenopancreatectomy; laparoscopy; Whipple.

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