LAPAROSCOPIC RADICAL ANTEGRADE MODULAR PANCREATOSPLENECTOMY

Đức Thuận Nguyễn, Công Duy Long Trần, Tiến Đạt Lê, Quốc Việt Đặng, Hồng Phú Phạm, Phước Nghĩa Phan

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Abstract

Background: Pancreatic cancer of the body and tail is a common disease in pancreatic surgery and is characterized by a high postoperative recurrence rate and a poor prognosis. Radical resection is regarded as the best treatment option. Laparoscopic radical antegrade modular pancreatosplenectomy (l-RAMPS) provides a new surgical approach for patients with pancreatic cancers of the body and tail. The aim of this study was to evaluate the feasibility and safety of l-RAMPS. Patients and Methods: This is a seires cases report of laparoscopic radical antegrade modular pancreatosplenectomy for cancer. From January 2022 to September 2024 at University Medical Center Ho Chi Minh City. Results: From Jan 2022 to Sept 2024, we had 26 enrolled patients with pancrease cancer in left side underwent l-RAMPS. Mean tumor size was 3.6 cm (3-8 cm). R0 resection rate 100%, positive lymnode node rate: 76.9%. Mean operation time: 280 minutes. Median blood loss 300ml. Median hospital stay: 7 days (6-18 days). Pancreaticfistula grade B:  23%. There was no perioperative mortality. Conclusion: Laparoscopic radical antegrade modular pancreatosplenectomy (l-RAMPS) C is feasible and safe for the body or tail of the pancreas cancer.

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References

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