Open Distal Pancreatectomy for Pancreatic Cancer

2021 ◽  
pp. 953-965
Author(s):  
Stefan Stättner ◽  
Florian Primavesi ◽  
David Fuks ◽  
Kjetil Søreide
PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0189631 ◽  
Author(s):  
Kurinchi Selvan Gurusamy ◽  
Deniece Riviere ◽  
C. J. H. van Laarhoven ◽  
Marc Besselink ◽  
Mohammed Abu-hilal ◽  
...  

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. S9-S10 ◽  
Author(s):  
Jeongsu Nam ◽  
Ki Byung Song ◽  
Young Joo Lee ◽  
Kwang Min Park ◽  
Jae Honn Lee ◽  
...  

Author(s):  
Deniece Riviere ◽  
Kurinchi Selvan Gurusamy ◽  
David A Kooby ◽  
Charles M Vollmer ◽  
Marc GH Besselink ◽  
...  

2013 ◽  
Vol 32 (9) ◽  
pp. 996-1000 ◽  
Author(s):  
Jin-shui CHEN ◽  
Gang JIN ◽  
Cheng-hao SHAO ◽  
Xiao-tang CAI ◽  
Zhuo SHAO ◽  
...  

Author(s):  
Riccardo Casadei ◽  
Carlo Ingaldi ◽  
Claudio Ricci ◽  
Laura Alberici ◽  
Emilio De Raffele ◽  
...  

AbstractThe laparoscopic approach is considered as standard practice in patients with body-tail pancreatic neoplasms. However, only a few randomized controlled trials (RCTs) and propensity score matching (PSM) studies have been performed. Thus, additional studies are needed to obtain more robust evidence. This is a single-centre propensity score-matched study including patients who underwent laparoscopic (LDP) and open distal pancreatectomy (ODP) with splenectomy for pancreatic neoplasms. Demographic, intra, postoperative and oncological data were collected. The primary endpoint was the length of hospital stay. The secondary endpoints included the assessment of the operative findings, postoperative outcomes, oncological outcomes (only in the subset of patients with pancreatic ductal adenocarcinoma-PDAC) and total costs. In total, 205 patients were analysed: 105 (51.2%) undergoing an open approach and 100 (48.8%) a laparoscopic approach. After PSM, two well-balanced groups of 75 patients were analysed and showed a shorter length of hospital stay (P = 0.001), a lower blood loss (P = 0.032), a reduced rate of postoperative morbidity (P < 0.001) and decreased total costs (P = 0.050) after LDP with respect to ODP. Regarding the subset of patients with PDAC, 22 patients were analysed: they showed a significant shorter length of hospital stay (P = 0.050) and a reduction in postoperative morbidity (P < 0.001) after LDP with respect to ODP. Oncological outcomes were similar. LDP showed lower hospital stay and postoperative morbidity rate than ODP both in the entire population and in patients affected by PDAC. Total costs were reduced only in the entire population. Oncological outcomes were comparable in PDAC patients.


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