| Autor: |
Tan, Jarrod K. H., Ng, Jun Jie, Yeo, Melissa, Koh, Frederick H. X., Bonney, Glenn K., Ganpathi, Iyer S., Madhavan, Krishnakumar, Kow, Alfred W. C. |
| Předmět: |
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| Zdroj: |
ANZ Journal of Surgery; May2019, Vol. 89 Issue 5, pE190-E194, 5p, 4 Charts |
| Abstrakt: |
Background: Minimally invasive pancreaticoduodenectomy (PD) is a feasible option for periampullary tumours. However, it remains a complex procedure with no proven advantages over open PD (OPD). The aim of the study was to compare the outcomes between laparoscopic‐assisted PD (LAPD) and OPD using a propensity score‐matched analysis. Methods: Retrospective review of 40 patients who underwent PD for periampullary tumours between January 2014 and December 2016 was conducted. The patients were matched 1:1 for age, gender, body mass index, Charlson comorbidty index, tumour size and haematological indices. Peri‐operative outcomes were evaluated. Results: LAPD appeared to have a longer median operative time as compared to OPD (LAPD, 425 min (285–597) versus OPD, 369 min (260–500)) (P = 0.066). Intra‐operative blood loss was comparable between both groups. Respiratory complications were five times higher in the OPD group (LAPD, 5% versus OPD, 25%) (P = 0.077), while LAPD patients required less time to start ambulating post‐operatively (LAPD, 2 days versus OPD, 2 days) (P = 0.021). Pancreas‐specific complications and morbidity/mortality rates were similar. Conclusion: LAPD is a safe alternative to OPD in a select group of patients for an institution starting out with minimally invasive PD, and can be used to bridge the learning curve required for total laparoscopic PD. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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