Hybrid laparoscopic versus open pylorus-preserving pancreatoduodenectomy: retrospective matched case comparison in 80 patients

Ulrich Friedrich Wellner, Simon Küsters, Olivia Sick, Caroline Busch, Dirk Bausch, Peter Bronsert, Ulrich Theodor Hopt, Konrad Wojciech Karcz, Tobias Keck*

*Corresponding author for this work
42 Citations (Scopus)


Purpose: We compared the outcome of hybrid laparoscopic pylorus-preserving pancreatoduodenectomy (lapPPPD) and open PPPD (oPPPD) in a retrospective case-matched study.

Methods: Patients operated from 2010 to 2013 by lapPPPD were matched 1:1 for age, sex, histopathology, American Society of Anesthesiologists category and body mass index to oPPPD patients operated from 1996 to 2013.

Results: Patients eligible for lapPPPD are a risk group due to a high rate of soft pancreata. Complication rate and mortality were comparable to oPPPD. There was a significantly reduced transfusion requirement and a trend towards shorter operation time, less delayed gastric emptying, and reduced hospital stay. The main reason for conversion was portal venous tumor adhesion. Patient selection changed and operation time and hospital stay decreased with the surgeons’ experience.

Conclusion: In selected patients, a hybrid laparoscopic technique of pancreatoduodenectomy is feasible with complication rates comparable to the open procedure. There seem to be advantages in terms of transfusion requirement, operation time, and hospital stay.

Original languageEnglish
JournalLangenbeck's Archives of Surgery
Issue number7
Pages (from-to)849-856
Number of pages8
Publication statusPublished - 10.2014

Research Areas and Centers

  • Centers: University Cancer Center Schleswig-Holstein (UCCSH)

DFG Research Classification Scheme

  • 205-25 General and Visceral Surgery
  • 205-14 Haematology, Oncology

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