Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 7, 2015; 21(17): 5311-5319
Published online May 7, 2015. doi: 10.3748/wjg.v21.i17.5311
Outcome and costs of laparoscopic pancreaticoduodenectomy during the initial learning curve vs laparotomy
Chun-Lu Tan, Hao Zhang, Bing Peng, Ke-Zhou Li
Chun-Lu Tan, Hao Zhang, Bing Peng, Ke-Zhou Li, Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Peng B and Li KJ designed the research; Tan CL and Zhang H collected data and wrote the paper.
Ethics approval: The study was a retrospective study; it has been reviewed and approved by the Institutional Review Board.
Conflict-of-interest: The authors have no conflicts of interest to report.
Data sharing: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ke-Zhou Li, Department of Pancreatic Surgery, West China Hospital, Sichuan University, No.24 South Section 1, Yihuan Road, Chengdu 610041, Sichuan Province, China. huaxipancreas@163.com
Telephone: +86-28-85422474 Fax: +86-28-85422474
Received: November 2, 2014
Peer-review started: November 3, 2014
First decision: December 26, 2014
Revised: January 22, 2015
Accepted: February 11, 2015
Article in press: February 11, 2015
Published online: May 7, 2015
Core Tip

Core tip: Open pancreaticoduodenectomy is the classic procedure for pancreatic and periampullary malignancies and some benign diseases. However, laparoscopic pancreaticoduodenectomy has only been in application for ten years, and has been popular for only a few years. The technique used in the laparoscopic procedure is quite different from laparotomy. Thus, experienced laparotomy surgeons are required to adapt to these changes. The safety of laparoscopic pancreaticoduodenectomy by experienced surgeons in laparotomy during the initial learning curve was demonstrated in our study and resulted in faster postoperative recovery.