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Laparoscopic versus open distal pancreatectomy: a single-institution comparative study.
Yue Zhang, Xue-Min Chen1, Dong-Lin Sun
1Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China. tomuer@126.com.
World Journal of Surgical Oncology
|November 7, 2014
Summary
Laparoscopic distal pancreatectomy (LDP) offers similar safety to open distal pancreatectomy (ODP) but leads to faster recovery, including earlier bowel function and shorter hospital stays.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Distal pancreatectomy is a crucial procedure for managing pancreatic conditions.
- Comparing laparoscopic (LDP) and open (ODP) approaches is essential for optimizing patient outcomes.
Purpose of the Study:
- To compare the clinical outcomes of LDP versus ODP at a single institution.
- To evaluate the safety and efficacy of LDP compared to ODP.
Main Methods:
- Retrospective analysis of 43 patients undergoing distal pancreatectomy (2009-2013).
- Patients divided into LDP (n=20) and ODP (n=23) groups.
- Clinical data analyzed retrospectively.
Main Results:
- No significant differences in operation time, transfusion rates, complications, or mortality.
- LDP group showed significantly less blood loss, faster return of bowel function, earlier diet initiation, and shorter hospital stays.
- All patients achieved negative surgical margins; lymph node yield was comparable.
Conclusions:
- Laparoscopic distal pancreatectomy (LDP) is a safe and feasible alternative to open distal pancreatectomy (ODP).
- LDP offers significant advantages in terms of faster patient recovery and reduced hospital stay.
- These findings support the adoption of LDP for suitable patients.
