Totally laparoscopic pancreaticoduodenectomy for locally advanced gastric cancer

Toshihiko Shinohara, Ichiro Uyama, Seiichiro Kanaya, Kazuki Inaba, Jun Isogaki, Akihiko Horiguchi, Shuichi Miyakawa

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)


Background: In patients having locally advanced cancer of the stomach with suspected tumor infiltration to the pancreatic head or the duodenum, a concurrent pancreaticoduodenectomy with gastrectomy is occasionally prerequisite to achieve a microscopically tumor-free surgical margin. Materials and methods: We present the first series of successful totally laparoscopic pancreaticoduodenectomy (TLPD) for advanced gastric cancer with suspected infiltration to the pancreatic head. Results: TLPD was successfully performed without adverse events during surgery and resulted in favorable short-term outcomes of three patients with locally advanced gastric cancer with suspected invasion to the pancreas. Conclusions: Although TLPD for locally advanced gastric cancer is a technically difficult challenging operation that requires careful dissection along the major vessels, intracorporeal tie sutures, and the placement of an external drainage tube into a narrow pancreatic duct, this procedure is technically feasible and safe in the hands of experienced surgeons. Long-term follow-up is mandatory to validate oncological outcome.

Original languageEnglish
Pages (from-to)733-737
Number of pages5
JournalLangenbeck's Archives of Surgery
Issue number4
Publication statusPublished - 07-2009

All Science Journal Classification (ASJC) codes

  • Surgery


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