Completed laparoscopic pancreaticoduodenectomy.

A 55-year-old male patient, complaining of skin and sclera yellowing, came in for clinical investigation. After complete evaluation, the primitive diagnosis of periampullary carcinoma was made and radical surgical resection was planned to be performed. Later, a complete laparoscopic pancreaticoduodenectomy was performed successfully. The mean operating time was 510 minutes. The intraoperative blood loss was 800 mL without intraoperative blood transfusion. No complication was noticed. The length of postoperative hospital stay was 14 days. Pathologic examination showed well-differentiated adenocarcinoma of common bile duct. The patient has been followed-up for 23 months. He is living very well and is capable of carrying on daily routine without any evidence of tumor recurrence. Despite long operating time, complete laparoscopic pancreaticoduodenectomy is feasible. To develop this procedure as more clinical application, some special instruments or new technique for laparoscopic intracorporal biliojejunostomy or pancreatojejunostomy should be evolved, and a large number of clinical trials are also needed to prove its feasibility.