Comparative analysis on clinical outcomes between laparoscopic distal pancreatectomy and open distal pancreatectomy : single center, single operator, same period experience

Purpose) Laparoscopic pancreatic surgery on distal lesion is in development state now. However benefit of laparoscopic distal pancreatectomy over the open surgery is not well known yet. We compared the clinical data of the patients underwent laparoscopic distal pancreatectomy (LDP group) with the patients underwent open surgery (ODP group) on the base of same operator, same period retrospectively. Type of operation was selected by wish of patients. Result): We performed 100 cases of laparoscopic surgery for the pancreatic disease including 90 cases of distal panceratectomy with or without spleen-preserving, 5 cases of enucleation, and 5 cases of pylorus preserving pancreaticodudodenectomy from Mar. 2005 to Aug. 2007 by single operator. Demographic features, such as age, sex, body mass index, underlying disease, previous operation history, type of disease didn’t show significant differences between two groups. Rate of spleen preservation was significantly higher in LDP group (40 % versus 5.7 %). Median operation time was 208 mins in LDP group and 190mins in ODP group (P>O.O5). Blood loss, RBC transfusion, use of pain killer, hospital cost did not show significant difference between two groups. LDP group had a median length of 10days of hospital stay, and started the soft diet at 3 days after operation, compared with 16days, and 4.5 days for the open patients respectively (P0.05). Pancreatic fistula rate was 8.4% in LDP group and 14.4% in ODP group (P>0.05). There was no mortality in both groups
CONCLUSION) Considering the benefits of laparoscopic surgery like big cosmetic advantage, short hospital stay and rapid getting back to normal work , laparoscopic pancreatectomy with or without spleen-preserving should be considered in benign or low potential malignant lesion of the distal pancreas, even prospective randomized study still be needed.

Session: Podium Presentation

Program Number: S117

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