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Laparoscopic versus open distal pancreatectomy: a single-institution case-control study
Sanket Sharad Mehta1, Ghalia Doumane, Thibault Mura
1Department of Digestive Surgery, Hospital Saint-Eloi, 80, Avenue Auguste Fliche, 34295, CHU Montpellier, France.
Surgical Endoscopy
|September 13, 2011
Summary
Laparoscopic distal pancreatectomy (LDP) offers comparable safety to open distal pancreatectomy (ODP) with reduced blood loss and shorter hospital stays. LDP also achieves a higher rate of spleen preservation, making it a viable option in experienced centers.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Laparoscopic distal pancreatectomy (LDP) is increasingly utilized, yet robust comparative studies with open distal pancreatectomy (ODP) are scarce.
- This study addresses the limited evidence by comparing outcomes between LDP and ODP.
Purpose of the Study:
- To compare the safety and efficacy of laparoscopic distal pancreatectomy (LDP) versus open distal pancreatectomy (ODP).
- To evaluate key outcomes including complication rates, blood loss, and hospitalization duration.
Main Methods:
- A single-institution case-control study matched 30 LDP cases with 30 ODP cases.
- Matching criteria included histopathologic diagnosis and lesion size.
- Spleen conservation was attempted in all cases.
Main Results:
- No significant differences in overall or major postoperative complication rates, or pancreatic fistula rates between LDP and ODP.
- LDP demonstrated significantly lower intraoperative blood loss and shorter hospitalization duration compared to ODP.
- Splenic conservation rates were significantly higher in the LDP group (70% vs. 30%).
Conclusions:
- Laparoscopic distal pancreatectomy (LDP) is a safe and feasible approach for distal pancreatic resections in experienced centers.
- LDP offers comparable postoperative complication rates to ODP, with added benefits of reduced blood loss, higher spleen preservation, and shorter hospital stays.
- Further validation through prospective randomized trials is warranted.
