Comparison of Clinical Outcomes of Single Incision versus Conventional Multi-Port Laparoscopic Distal Pancreatectomy: A Single Institution Experience

Autor: Umut Barbaros, Orhan Agcaoglu, Selcuk Mercan, İbrahim Fethi Azamat, Selim Dogan, Nihat Aksakal
Přispěvatelé: Ağcaoğlu, Orhan (ORCID 0000-0003-1617-3953 & YÖK ID175476), Aksakal, Nihat, Azamat, İbrahim Fethi, Doğan, Selim, Mercan, Selçuk, Barbaros, Umut, School of Medicine, Department of General Surgery
Rok vydání: 2019
Předmět:
Zdroj: Medical Bulletin of Sisli Etfal Hospital / Şişli Etfal Hastanesi Tıp Bülteni
Şişli Etfal Hastanesi tıp Bülteni
ISSN: 1302-7123
Popis: Objectives: single-incision laparoscopic procedures have been gaining popularity in recent years due to their minimal incisional morbidity and improved cosmetic outcomes. Herein, we will compare the feasibility and outcomes of single-incision and conventional multiport laparoscopic distal pancreatectomy. Methods: this study involves consecutive patients who underwent either single-incision or conventional multiport laparoscopic distal pancreatectomy from March 2007 to February 2014. The patients were divided into two groups, based on the surgical approach: single-incision laparoscopic surgery (Group 1) and conventional multiport laparoscopic surgery (Group 2). The parameters evaluated included estimated blood loss, operative time, postoperative pain, duration of hospital stay, complications, conversion, and final pathology. Results: there were a total of 20 patients, 10 in each study group. Baseline characteristics were similar, and there was no mortality in either of the groups. The low-flow pancreatic fistula was the most commonly seen morbidity, but it was ceased spontaneously in each group by a ratio of 30%. The operative time was significantly shorter in Group 2, with a mean of 116 minutes versus a mean of 180 minutes for Group 1 (p
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Databáze: OpenAIRE