A Case-matched Comparative Study of Laparoscopic Versus Open Pancreaticoduodenectomy.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Basil J AmmoriMahmoud Almasri

Abstract

The laparoscopic approach to pancreaticoduodenectomy (LPD) is technically demanding, but may offer benefits over open surgery [open pancreaticoduodenectomy (OPD)]. The aim of this study was to compare the outcomes of these 2 approaches at a tertiary cancer center from the Middle East. Fifty consecutive patients who underwent LPD (n=12) and OPD (n=38) between 2015 and 2018 were considered. One surgeon performed LPD for "all comers," while 3 other surgeons performed open surgery. Patients were randomly matched on a 1:2 basis for pathology (benign vs. malignant), malignancy size (±1 cm), and whether the pancreatic duct was dilated (>3 mm). Six patients were excluded, leaving 44 patients, of whom 33 were matched (LPD n=11, OPD n=22). The groups were comparable for age (57 vs. 63 y, P=0.123) and sex distribution (female; 55% vs. 45%, P=0.721), tumor size (3 cm in each group), frequency of pancreatic duct dilatation (45% in each group), and malignant pathology (82% in each group). There were no conversions to open surgery. Although the operating time for LPD was significantly longer (680 vs. 313 min, P<0.0001), LPD was associated with significantly shorter primary (4.7 vs. 7.8 d, P<0.0001) and total hospital stay that included readmi...Continue Reading

References

Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Oct 3, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kris P CroomeMichael L Kendrick
Jan 4, 2017·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Surgery (ISGPS)
Feb 18, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yazan S KhaledBasil J Ammori
May 11, 2017·Langenbeck's Archives of Surgery·Michał PędziwiatrAndrzej Budzyński
Sep 13, 2017·The British Journal of Surgery·C PalaniveluS Rajapandian

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BETA
gastric
gastric bypass

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SPSS
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IDEAL

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