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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.

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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.

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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.