A comparison of minimally invasive vs open distal pancreatectomy for resectable pancreatic ductal adenocarcinoma: Propensity score matching analysis
| Autor: | Ki Byung Song, Seo Young Park, Dae Wook Hwang, Yejong Park, Woohyung Lee, Eunsung Jun, Jaewoo Kwon, Jae Hoon Lee, Song Cheol Kim |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pancreatic ductal adenocarcinoma Lymphovascular invasion R1 resection Adenocarcinoma 030230 surgery 03 medical and health sciences Pancreatectomy Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Pancreatic cancer Humans Medicine Stage (cooking) Propensity Score Retrospective Studies Hepatology business.industry Perioperative medicine.disease Surgery Pancreatic Neoplasms Treatment Outcome 030220 oncology & carcinogenesis Propensity score matching Laparoscopy business Distal pancreatectomy |
| Zdroj: | Journal of Hepato-Biliary-Pancreatic Sciences. 28:967-982 |
| ISSN: | 1868-6982 1868-6974 |
| Popis: | BACKGROUND Owing to concerns regarding adequate oncological outcomes and perioperative complications, minimally invasive distal pancreatectomy (MIDP) for pancreatic ductal adenocarcinoma (PDAC) has limited generalizability. The aim of this study was to assess the perioperative and oncologic outcomes of MIDP compared with open distal pancreatectomy (ODP) for resectable PDAC after propensity score matching (PSM). METHODS The patients who underwent MIDP and ODP for PDAC between January 2010 and December 2017 were retrospectively reviewed. Demographics, perioperative outcomes, pathological outcomes, and overall and disease-free survival data were collected to compare MIDP and ODP. After PSM, perioperative and oncologic outcomes were analyzed. RESULTS A total of 156 MIDP patients were compared with 156 ODP patients for resectable PDAC after PSM. Tumor size, TNM stage, differentiation, harvested lymph nodes, and positive lymph nodes were not different except for R1 resection and lymphovascular invasion between the MIDP and ODP groups. Operation times, overall complications, POPF, and adjuvant treatment were also not different between the two groups. The MIDP group had shorter hospital stays (10.0 vs 13.4 days, P |
| Databáze: | OpenAIRE |
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