1. Disclosure Statement of Financial Interest
Franky Vansteenkiste MD
“Nothing To Disclose”

2. Total laparoscopic pancreaticoduodenectomy – initial experience in a Belgian non-academic supraregional hospital
F. Vansteenkiste MD, L. Kinget MD, M. D’Hondt MD
Department of Digestive and HPB/Pancreatic Surgery
Groeninge Hospital
President Kennedylaan 4, 8500 Kortrijk
Belgium

3. Material and methods
A retrospective analysis of a prospective maintained database of our pancreaticoduodenectomies.
We performed 45 pancreaticoduodenectomies between February 2012 and February 2016
9 were done open
34 were started laparoscopically, of those we had to convert to open surgery in 7 cases.
Reasons for conversion were bleeding in 3 cases, unclear anatomy in 2 cases , periportal fibrosis in 1 case and tumor size in 1 case.
We reviewed the clinicopathological data of our 27 total laparoscopic pancreaticoduodenectomy (TLPD) patients.

4. Results 27 TLPD Female /male : 13/14 Median age : 69.5 y (55-82)
Median tumor size : 26 mm
R0 resection is 26/27 patients
Indication for TLPD

5. Results Operative data Median OR time : 335 min (240-420 min)
Median blood loss : 100 cc ( cc)
24 PPPD – 3 classical Whipple procedures
17 duct to mucosa anastomosis – 10 dunking

6. Results Postoperative complications 10/27 had a pancreatic leak
4 type A, 5 type B , only 1 type C
No life-threatening complications
Only 5 dindo clavien type III
Median hospital stay was 18 days (9-46)
Dindo clavien

7. Conclusion
TLPD seems feasable and safe to perform during initial learning curve by experienced hepatopancreatobiliary surgeons with advanced laparoscopic skills.
Contact : Franky Vansteenkiste MD
Department of Digestive and HPB/Pancreatic Surgery
Groeninge Hospital
President Kennedylaan 4, 8500 Kortrijk
Belgium