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Laparoscopic distal pancreatectomy in pancreatic cancer: single centre experience of short and long term outcomes

Ho Seong Han, Professor1, Yoo Seok Yoon1, Gaurav Chaubal2. 1Seoul National University Bundang Hospital,South Korea1, 2Global Hospital, Mumbai

Introduction : Pancreatic ductal adenocarcinoma (PDAC) is an aggressive disease with poor prognosis. Radical resection with negative margins is important to achieve cure. Laparoscopic distal pancreatectomy (lap DP) for PDAC has been performed recently, but wise patient selection is required. We report the outcomes of our patients undergoing lap DP for PDAC.

Methods: We retrospectively analysed data of patients undergoing lap DP for PDAC from June 2006 to August 2016. Demographic details such as age, sex, body mass index (BMI) were recorded. Operative variables such as blood loss, operation time and intraoperative adverse events were recorded. Postoperative variables such as hospital stay, morbidity and mortality were recorded. Patients were followed up at regular intervals and recurrence and survival data were noted.

Results : Thirty three patients were included in this study.(20 males,13 females). Mean age was 50.2 years. Mean blood loss was 352.5 ml. Mean operation time was 254.5 minutes. Mean hospital stay was 13.3 days. Fourteen patients had postop complications. There was no 30 day mortality. There was recurrence in 11 patients at a mean duration of 22.8 months. Ten patients have died and the mean survival was 28.5 months.

Conclusion: Lap DP can be performed in patients with PDAC with good oncological outcomes and low morbidity and mortality.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79898

Program Number: P613

Presentation Session: Poster (Non CME)

Presentation Type: Poster

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