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Published on: June 17, 2018
Laparoscopic distal pancreatectomy
Danny A Sherwinter1, Jana Lewis, Jesus E Hidalgo
1Maimonides Medical Center, Brooklyn, NY 11219, USA. dsherwinter@maimonidesmed.org
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 15, 2013
Summary
Laparoscopic distal pancreatectomy (LDP) is safe and effective, even in low-volume hospitals without specialized laparoscopic surgeons. Outcomes are comparable to open procedures, suggesting wider applicability.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Laparoscopic distal pancreatectomy (LDP) adoption has been limited, primarily to high-volume centers.
- Assessing LDP safety and outcomes in a low-volume community hospital is crucial.
Purpose of the Study:
- To evaluate the safety and efficacy of LDP in a community hospital setting.
- To compare LDP outcomes with traditional open distal pancreatectomy (ODP).
Main Methods:
- Retrospective review of 27 distal pancreatectomies (16 LDP, 11 ODP) from August 2001 to June 2008.
- Data collected included operative details, patient demographics, complications, and mortality.
- Analysis compared outcomes between LDP and ODP groups.
Main Results:
- Mean operative time and length of stay were similar between LDP and ODP.
- Morbidity rates were comparable (25% LDP vs. 36% ODP), with no statistically significant difference.
- No mortalities occurred in either the LDP or ODP group.
Conclusions:
- LDP can be safely performed by surgeons proficient in basic laparoscopy, without requiring specialized centers.
- The findings suggest LDP is a viable option in diverse surgical settings.
- Further research is needed for more conclusive evidence on LDP's widespread adoption.
