• Annals of surgery · Mar 2022

    Laparoscopic Pancreaticoduodenectomy with Transanal Specimen Extraction for Periampullary Tumors.

    • Haipeng Meng, Song Wang, Jinchao Liu, Xu Zhao, Zhen Rong, Yanling Xu, and Gang Yu.
    • Department of General Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, Shandong, China.
    • Ann. Surg. 2022 Mar 1; 275 (3): e596-e598.

    ObjectiveTo explore the possibility of LPD with transanal specimen extraction for periampullary tumors.BackgroundNatural orifice specimen extraction has been widely performed in colorectal surgery. But so far there is no report regarding natural orifice specimen extraction in LPD.MethodsData of 3 patients who underwent LPD with transanal specimen extraction by the same surgeon between July 2018 and March 2019 due to periampullary tumors were evaluated retrospectively.ResultsAll patients underwent LPD with no conversion to open surgery. Specimens were all extracted transanally. No complications occurred except for delayed gastric emptying in 1 patient. The patients' anorectal function was intact and no opioids were required postoperatively. After a follow-up of 17-25 months, all patients were alive with no tumor recurrence.ConclusionTreatment of periampullary tumors by LPD with transanal specimen extraction is feasible and safe.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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