Orhan Agcaoglu, MD1, Nihat Aksakal, MD2, Selim Dogan, MD2, Ibrahim Azamat, MD2, Umut Barbaros, MD2. 1Koc University, School of Medicine, Department of General Surgery, 2Istanbul University, Istanbul School of Medicine, Department of General Surgery
Background: Single incision laparoscopic procedures are gaining more popularity over the recent years due to providing less incisional morbidity and beter cosmetic outcomes. Herein, we will discuss the feasibility and clinical outcomes comparing single incision and multiport laparoscopic distal pancreatectomy.
Patients and Methods: From March 2007 to February 2014, patients who underwent either single incision or conventional multiport laparoscopic distal pancreatectomy consecutively were included to study. The patients were divided into two groups based on the surgical approach: single incision laparoscopic surgery (Group 1) and multiport laparoscopic surgery (Group 2). Outcomes including estimated blood loss, operative time, postoperative pain, duration of hospital stay, complications, conversion to open surgery and final pathology were evaluated. Clinical and perioperative parameters were analyzed using Student-t and Chi-square tests.
Results: There were a total of 20 patients, 10 in each study groups. Baseline characteristics were similar and there were no mortality in both gorups. Low-flow pancreatic fistula was the most seen morbidity which was ceased spontaneously in each group with a ratio of 30%. Operative time was significantly shorter in group 2 with a mean of 116 minutes versus 180 minutes, respectively (p<0.001). There were 1 conversion to open in group 2 due to peroperative bleeding. The median follow-up of the patients was 22 versus 56 months, respectively. Spleen was preserved in only one patient in gorup 1, whereas in group 2 spleen preservation was achieved in 5 patients.
Conclusion: Single incision laparoscopic technique is a safe and effective alternative to standard laparoscopic distal pancreatectomy. We believe that in tertiary centers where advanced laparoscopic procedures performed, minimal invasive techniques may be preferred over the conventional multiport laparoscopy technique.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80229
Program Number: P706
Presentation Session: Poster (Non CME)
Presentation Type: Poster
