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Two-surgeon Model in Laparoscopic Pancreaticoduodenectomy

Cai, Yunqiang MD*,†; Chen, Sirui MD; Peng, Bing MD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: August 2019 - Volume 29 - Issue 4 - p 275–279
doi: 10.1097/SLE.0000000000000649
Original Articles

Purpose: Laparoscopic pancreaticoduodenectomy (LPD) is one of the most challenging gastrointestinal surgeries. Herein, we propose a new laparoscopic surgical conception called the 2-surgeon model and share our experience in LPD.

Materials and Methods: We began performing LPD using the 2-surgeon model in October 2015. To December 2017, we have performed 203 cases of LPDs using 2-surgeon model. Data associated with demographic characteristics, operative outcomes, and postoperative results were prospectively collected and analyzed retrospectively.

Results: Only 1 patient in our series required to conversion to open surgery. The mean operative time was 318 minute. The estimated blood loss was 108 mL. The overall complication was 26.1%. In total, 41 patients (20.2%) suffered from pancreatic fistula, including 33 cases of grade A, 7 cases of grade B, and 1 case of grade C. The 90-day mortality was 0.5%.

Conclusions: The 2-surgeon model is safe and feasible for LPD.

*Department of Minimal Invasive Surgery, Shangjin Nanfu Hospital

Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu

Department of Hepatobiliary Surgery, Mianyang Central Hospital, Mianyang, China

Y.C. and S.C. contributed equally.

The authors declare no conflicts of interest.

Reprints: Bing Peng, MD, Department of Pancreatic Surgery, West China Hospital, Sichuan University, No. 37, Guo Xue Alley, Chengdu, Sichuan, 610041, China (e-mail:

Received October 25, 2018

Accepted January 9, 2019

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