Minimally invasive (laparoscopic and robot-assisted) versus open approach for central pancreatectomies: a single-center experience
| Autor: | Woo Jung Lee, Chang Moo Kang, Ho Kyoung Hwang, Charles Jimenez Cruz, Frederick Huynh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030230 surgery Single Center 03 medical and health sciences 0302 clinical medicine Pancreatectomy Robotic Surgical Procedures Diabetes mellitus Internal medicine medicine Humans Minimally Invasive Surgical Procedures Robotic surgery Retrospective Studies business.industry Perioperative Robotics Hepatology medicine.disease Surgery Pancreatic Neoplasms Treatment Outcome Pancreatic fistula 030211 gastroenterology & hepatology Laparoscopy Complication business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 36(2) |
| ISSN: | 1432-2218 |
| Popis: | There continues to be an interest in minimally invasive approaches to pancreatic surgery. At our institution, there has been a progressive change from an open to minimally invasive surgery (MIS) (laparoscopic, robotic, or laparoscopic-robotic) approach for central pancreatectomies (CP). The aim of this study was to evaluate surgical outcomes with open CP (O-CP) versus minimally invasive CP (MI-CP). A retrospective medical review of patients who underwent CP between 1993 and 2018 at Yonsei University Health System, Seoul, Korea was performed. Short-term perioperative outcomes were compared between O-CP and MI-CP. Thirty-one CPs (11 open, 20 MIS) were identified during the study period. No difference was observed in admission days between O-CP and MI-CP (21.2 vs. 16.7 days, p = 0.340), although operating time was significantly increased in the MI-CP group (296.8 vs. 374.8 min, p = 0.036). Blood loss was significantly less in MI-CP vs. O-CP (807.1 vs. 214.0 mls, p = 0.001), with no difference in post-operative new-onset diabetes (9% vs. 5%). The overall post-operative pancreatic fistula rate was 25.8%, and no significant difference between O-CP and MI-CP or complication rates (45% vs. 40%) was observed. Despite increased operative time, MI-CP is feasible and comparable to conventional O-CP with regard to surgical outcomes in well-selected patients. |
| Databáze: | OpenAIRE |
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