Analysis Of Short-term Efficacy Of Laparoscopicand Open Pancreaticoduodenectomy

Object This paper mainly analyzes the intraoperative and postoperative indicators of laparoscopic and open pancreaticoduodenectomy to find out whether there is any difference in the short-term efficacy of the two surgical methods,so as to provide a basis for the selection of clinical treatment.Methods Data of 138 patients undergoing pancreaticoduodenectomy in the hospital from January 2017 to November 2019 were collected,7 patients who did not meet the requirements were excluded,and relevant indicators such as intraoperative and postoperative indicators were analyzed.Result A total of 131 patients were included in this study,including 68 patients who underwent laparoscopic pancreaticoduodenectomy(LPD group),including 38 males and 30 females,and 63 patients who underwent open pancreaticoduodenectomy(OPD group),including 42 males and 21 females,with no statistical difference in gender between the two groups.There was no significant difference in age,preoperative tumor index,preoperative complications and preoperative symptoms.In terms of intraoperative operation,the operation time of LPD group was significantly longer than that of OPD group,while in terms of intraoperative blood loss and transfusion rate,LPD was significantly smaller than that of OPD group(P﹤0.05),showing statistically significant differences.In the postoperative aspect,the first postoperative exhaust time and the first postoperative feeding time of the LPD group were significantly earlier than that of the OPD group,and the number of postoperative fever and postoperative hospitalization time of the LPD group were significantly lower than that of the OPD group,with statistically significant differences.There was no significant difference in hospitalization costs between the two groups.In most of the postoperative complications(including pancreatic fistula,biliary leakage,chyle leakage,postoperative bleeding,gastric emptying dysfunction,abdominal cavity infection,stress ulcer,secondary surgery,perioperative death),no significant difference in both groups,but LPD group can obviously reduce the patient some complications(including incision infection and fatty liquefied,lung infection),decrease the rate of total complications,the difference is statistically significant.Conclusion: In terms of the recent curative effect,compared with the.opd,LPD can reduce intraoperative blood loss,to reduce the rate of intraoperative blood transfusion,the early postoperative exhaust time,postoperative time of food intake for the first time for the first time,shorten the length of hospital stay,postoperative part can reduce postoperative complications,decrease the rate of total complications,is has certain advantages in some respects,is safe and feasible,is worth popularization and application.