title: Laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma of common bile duct: a case report and literature review.
abstract: BACKGROUND
  Minimal access techniques have gained wide acceptance in surgical practice, but the role of laparoscopic pancreaticoduodenectomy is still controversial. Laparoscopic pancreaticoduodenectomy has seldom been described. In this report, we assessed the feasibility and safety of laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma of the common bile duct.
  
  
  METHODS
  According to imaging findings, a 71-year-old Chinese man was diagnosed with malignancy of the common bile duct, and successfully underwent laparoscopic pancreaticoduodenectomy in our center. The operation's safety, postoperative recovery, complications, oncological clearance, and short-term follow-up results of the patient are evaluated. No severe intraoperative or postoperative complications were observed. The operation time was 390 minutes, and the blood loss was about 50 ml; the flatus, time to resume early activity and hospital stay were 3, 4, and 30 days respectively. The patient remained well at a follow-up of 6 months.
  
  
  CONCLUSIONS
  Laparoscopic pancreaticoduodenectomy can be performed feasibly and safely by surgeons with advanced laparoscopic skills, and could be considered for the treatment of common bile duct tumors.
authors.affiliation: Department of General Surgery, Ruijin Hospital, Shanghai Minimally Invasive Surgery Center, Shanghai Institute of Digestive Surgery, Shanghai Second Medical University, Shanghai, China.
authors.forename: Min-Hua
authors.initials: MH
authors.lastname: Zheng
authors.forename: Bo
authors.initials: B
authors.lastname: Feng
authors.forename: Ai-Guo
authors.initials: AG
authors.lastname: Lu
authors.forename: Jian-Wen
authors.initials: JW
authors.lastname: Li
authors.forename: Wei-Guo
authors.initials: WG
authors.lastname: Hu
authors.forename: Ming-Liang
authors.initials: ML
authors.lastname: Wang
authors.forename: Lu
authors.initials: L
authors.lastname: Zang
authors.forename: Feng
authors.initials: F
authors.lastname: Dong
authors.forename: Zhi-Hai
authors.initials: ZH
authors.lastname: Mao
authors.forename: Yuan-Fei
authors.initials: YF
authors.lastname: Peng
authors.forename: Yu
authors.initials: Y
authors.lastname: Jiang
mesh_terms: D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D016577:Pancreaticoduodenectomy / Q000379:methods*; D016896:Treatment Outcome