Abstract:
Objective To investigate the risk factors affecting the prognosis of total laparoscopic pancreaticoduodenectomy（TLPD）.
Methods The clinical data of 57 patients with periampullary carcinoma who received TLPD from August 2016 to October 2018 were retrospectively selected. Statistical software SPSS 20.0 was used for data analysis. Statistical software SPSS 20.0 was used for data analysis. Measurement data were expressed by（
±
s），and t test was performed for comparison between groups. Enumeration data were expressed as n（%），and
χ2 was used for comparison between groups. K-M method was used to draw the survival curve to analyze the postoperative survival of the patients. Cox regression multivariate analysis was used to analyze the independent risk factors affecting the survival of patients with TLPD.
P<0.05 was considered statistically significant.
Results All 57 patients were followed up after surgery，with a median follow-up time was 31 months. K-M survival curve analysis showed that the cumulative survival rate was 47.4%.COX regression analysis showed that clinical T stage，lymph node metastasis and vascular cancer plug were independent risk factors affecting the prognosis and survival of TLPD patients（P<0.05）.
Conclusion Clinical T staging，lymph node metastasis and vascular cancer plug are independent risk factors affecting the prognosis and survival of PATIENTS with TLPD. Early preoperative diagnosis，intervention and treatment are expected to improve the prognosis and survival of patients.
Key words:
Laparoscopes,
Pancreaticoduodenectomy,
Prognosis
Wenyv Niu, Yongfa Zhi, Yi Zhang, Mingjie Ma, Qing Zhou. Prognostic of total laparoscopic pancreaticoduodenectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(01): 87-90.