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01-11-2010 | 2010 SSAT Poster Presentation

Laparoscopic Distal Pancreatectomy Offers Shorter Hospital Stays with Fewer Complications

Authors: Joseph DiNorcia, Beth A. Schrope, Minna K. Lee, Patrick L. Reavey, Sarah J. Rosen, James A. Lee, John A. Chabot, John D. Allendorf

Published in: Journal of Gastrointestinal Surgery | Issue 11/2010

Abstract

Background

Laparoscopic distal pancreatectomy (LDP) is increasingly performed for lesions of the body and tail of the pancreas. The aim of this study was to investigate short-term outcomes after LDP compared to open distal pancreatectomy (ODP) at a single, high-volume institution.

Methods

We reviewed records of patients who underwent distal pancreatectomy (DP) and compared perioperative data between LDP and ODP. Continuous variables were compared using Student’s t or Wilcoxon rank-sum tests. Categorical variables were compared using chi-square or Fisher’s exact test.

Results

A total of 360 patients underwent DP. Beginning in 2001, 95 were attempted, and 71 were completed laparoscopically with a 25.3% conversion rate. Compared to ODP, LDP had similar rates of splenic preservation, pancreatic fistula, and mortality. LDP had lower blood loss (150 vs. 900 mL, p < 0.01), smaller tumor size (2.5 vs. 3.6 cm, p < 0.01), and shorter length of resected pancreas (7.7 vs. 10.0 cm, p < 0.01). LDP had fewer complications (28.2% vs. 43.8%, p = 0.02) as well as shorter hospital stays (5 vs. 6 days, p < 0.01).

Conclusions

LDP can be performed safely and effectively in patients with benign or low-grade malignant neoplasms of the distal pancreas. When feasible in selected patients, LDP offers fewer complications and shorter hospital stays.

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Title: Laparoscopic Distal Pancreatectomy Offers Shorter Hospital Stays with Fewer Complications
Authors: Joseph DiNorcia
Beth A. Schrope
Minna K. Lee
Patrick L. Reavey
Sarah J. Rosen
James A. Lee
John A. Chabot
John D. Allendorf
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 11/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1264-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic Distal Pancreatectomy Offers Shorter Hospital Stays with Fewer Complications

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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