Assessment of difficulty in laparoscopic distal pancreatectomy: A modification of the Japanese difficulty scoring system - A single-center high-volume experience.

Journal of Hepato-biliary-pancreatic Sciences
Giacomo DeiroAlessandro Esposito

Abstract

The Japanese difficulty scoring system (DSS) was developed to assess the difficulty of laparoscopic distal pancreatectomy (LDP). The study aimed to validate a modified DSS (mDSS) in a European high-volume center. Patients' clinical data underwent LDP for benign and malignant pancreatic lesion between September 2013 and February 2020 were reviewed. Expert laparoscopic surgeons performed the procedures. The mDSS consisted of seven variables, such as type of operation, malignancy, neoadjuvant therapy, pancreatic resection line, tumor close to major vessels, tumor extension to peripancreatic tissue, and left-sided portal hypertension and/or splenomegaly. According to the difficulty level and previous score, the mDSS was subdivided into three classes: low, intermediate, and high. Surrogates of case complexity (operative time, intraoperative blood loss and blood transfusion requirements, conversion rate) were used to validate the new scoring system. The study population included 140 LDP. Ninety-five (68%), 35 (25%) and 10 (7%) patients belonged to low, intermediate, and high difficulty groups. The mDSS identified the complexity of the surgical case of the series for all the surrogates of complexity considered, namely conversion rate ...Continue Reading

References

Jul 6, 2012·Updates in Surgery·Marco BragaValerio Di Carlo
Mar 13, 2014·Surgery Today·Claudio RicciFrancesco Minni
Oct 10, 2014·Asian Journal of Endoscopic Surgery·Yoshiharu NakamuraEiji Uchida
Feb 18, 2016·Nature Reviews. Gastroenterology & Hepatology·Thijs de RooijMarc G Besselink
Oct 16, 2016·Annals of Surgery·Thijs de RooijUNKNOWN Dutch Pancreatic Cancer Group
Feb 22, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Bård I RøsokUNKNOWN Organizing Committee for the State of the Art Conference on Minimally Invasive Pancreas Resection
Apr 18, 2017·Journal of the American College of Surgeons·Safi DokmakAlain Sauvanet
Nov 4, 2017·Annals of Surgery·Jony van HilstUNKNOWN European Consortium on Minimally Invasive Pancreatic Surgery (E-MIPS)
Jun 28, 2018·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jony van HilstMarc G Besselink
Aug 18, 2018·Journal of Hepato-biliary-pancreatic Sciences·Takao OhtsukaMasafumi Nakamura
Nov 6, 2018·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kjetil SøreideKristoffer Lassen
Apr 22, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Salvatore PaiellaRoberto Salvia
May 14, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Paschalis GavriilidisRobert P Sutcliffe
Oct 1, 2019·Annals of Surgery·Horacio J AsbunUNKNOWN International Study Group on Minimally Invasive Pancreas Surgery (I-MIPS)
Dec 15, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alma L MoekotteUNKNOWN International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection (IG-MIPR)
Dec 19, 2019·Annals of Surgical Oncology·Sanne LofUNKNOWN European Consortium on Minimally Invasive Pancreatic Surgery (E-MIPS)
Mar 28, 2020·Journal of Surgical Oncology·Charles C Vining, Melissa E Hogg
Apr 29, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Stefano PartelliMassimo Falconi
Aug 13, 2020·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·N van der HeijdeUNKNOWN International Evidence-based Guidelines of Minimally Invasive Pancreas Resection Group
Oct 3, 2020·Annals of Gastroenterological Surgery·Hiromitsu Hayashi, Hideo Baba
Dec 11, 2020·Langenbeck's Archives of Surgery·A BalduzziUNKNOWN International Evidence-based Guidelines of Minimally Invasive Pancreas Resection Group

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