Objective: In order to treat cystic neoplasms in the pancreatic head, our research looked at the immediate clinical outcomes of the LDPPHR surgical operation. Methods: Between September 2020 and April 2023, 60 patients at Mayo Hospital had therapy for cystic neoplasms of the pancreatic head. Their medical records were examined. We reviewed their clinical history, imaging tests, and outcomes after treatment. Results:In this research comparing two pancreaticoduodenectomy surgical methods, no significant differences were found between the baseline and pathological features of the patient population. A shorter postoperative exhaust time (2-4 days) was observed in patients who underwent laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels (LDPPHR) as opposed to those who underwent laparoscopic pancreaticoduodenectomy (LPD), with a statistical significance of P-value = 0.003. With regard to operating time, anticipated blood loss, intraoperative transfusion, postoperative complications, reoperation, and 30-day readmission, there were no significant differences between the two groups (P-value > 0.05). No conversions or 90-day mortality occurred in any group. In comparison to the LPD group, the LDPPHR group had greater total cholesterol (TG), postoperative nutritional index (PNI), body mass index (BMI), and total cholesterol (TG) after 3 months (P-value < 0.05). Conclusions:In comparison to LPD, LDPPHR improves instantaneous post-surgical nutrient intake, reduces postoperative exhaustion time for patients, and does not compromise preoperative protection.

laparoscopy, surgery, bmi