Laparoscopic Versus Open Distal Pancreatectomy: Comparative Analysis of Clinical Outcomes at a Single Institution

被引：10

作者：

Jarufe, Nicolas ^{[1
]}

Soto, Pedro ^{[1
]}

Ahumada, Vanessa ^{[1
]}

Pacheco, Sergio ^{[1
]}

Salinas, Jose ^{[1
]}

Galindo, Jose ^{[1
]}

Bachler, Jean-Phillipe ^{[1
]}

Achurra, Pablo ^{[1
]}

Rebolledo, Rolando ^{[1
]}

Guerra, Juan F. ^{[1
]}

Briceno, Eduardo ^{[1
]}

Martinez, Jorge ^{[1
]}

机构：

[1] Pontificia Univ Catolica Chile, Dept Digest Surg, Santiago, Chile

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2018年 / 28卷 / 01期

关键词：

pancreatic neoplasms; laparoscopy; pancreatectomy; distal; SURGICAL COMPLICATIONS; DUCTAL ADENOCARCINOMA; METAANALYSIS; CLASSIFICATION; EXPERIENCE; RESECTION;

D O I：

10.1097/SLE.0000000000000494

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose:Undertake a comparison between laparoscopic distal pancreatectomy (LDP) and open distal pancreatectomy (ODP) for the management of benign and malignant lesions.Methods:A case series study of 93 consecutive patients subjected to a distal pancreatectomy for pancreatic tumors between 2001 and 2015. In each patient, clinical and surgical characteristic, postoperative course, histopathologic examination, and survival were analyzed.Results:LDP was associated with significantly less operative blood loss (50mL vs. 300mL; P<0.01), higher spleen preservation rate (52.6% vs. 19.2%; P<0.01) and shorter hospital stay (5d vs. 8d; P<0.01). In patients with adenocarcinoma, survival at 1 and 5 years were 63.5% and 15.9% in the ODP group versus 66.7% and 33.3% in the LDP group (P=0.43).Conclusions:LDP is a safe and feasible procedure for DP resections. LDP offers advantages over ODP in terms of reduction of operative blood loss, higher spleen preservation rate, and shorter hospital stay.

引用

页码：62 / 66

页数：5

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