Laparoscopic versus open distal pancreatectomy: a single-institution comparative study

World Journal of Surgical Oncology

Dong-Lin Sun¹  Xue-Min Chen¹  Yue Zhang¹ 

[1] Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China

关键词: Open surgery;    Laparoscopic distal pancreatectomy;    Distal pancreatectomy;   

Others  :  1147537
DOI  :  10.1186/1477-7819-12-327

 received in 2014-04-29, accepted in 2014-10-20,  发布年份 2014

【 摘 要 】

Background

This study was designed to compare clinical outcomes for laparoscopic distal pancreatectomy (LDP) and open distal pancreatectomy (ODP) performed at a single institution.

Methods

This retrospective study included 43 patients who underwent distal pancreatectomy between 2009 and 2013. The patients were divided into two groups based on the surgical approach: the laparoscopic surgery group (n = 20) and the open surgery group (n = 23). All clinical data were analyzed retrospectively.

Results

There were no significant differences in operation time, rate of intraoperative transfusions, complications, or mortality between the two groups. The intraoperative blood loss (210 ± 84.4 mL vs. 420 ± 91.1 mL), first flatus time (1.5 ± 1 d vs. 4 ± 2.5 d), diet start time (2 ± 0.7 d vs. 6 ± 1.8 d), and postoperative hospital stay (8 ± 3.5 d vs. 14 ± 5.5 d) were significantly less in the LDP group than in the ODP group. All patients had negative surgical margins at final pathology. There were no significant differences in the number of lymph nodes harvested (10 ± 2.1 vs. 11 ± 3.2) between the two groups.

Conclusions

LDP is a feasible and safe surgical approach as well as ODP, but has the advantages of an earlier return to normal bowel movements, normal diet, and shorter hospital stays than ODP.

【 授权许可】

   
2014 Zhang et al.; licensee BioMed Central Ltd.

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