Single‐port versus conventional laparoscopic distal pancreatectomy : a propensity score matched analysis and a learning curve of single‐port approach
Abstract Background Single‐port laparoscopic approaches are well established in the field of minimally invasive surgery; however, single‐port laparoscopic distal pancreatectomy (SPLDP) has not been evaluated in a large number of distal pancreatic neoplasms. We aimed to compare single‐port laparoscopic distal pancreatectomy outcomes with conventional laparoscopic distal pancreatectomy (LDP) outcomes. Methods We retrospectively evaluated the medical records of 101 patients who underwent SPLDP ( n= 26) or LDP ( n= 75). We performed 1:1 propensity score matching between the two groups. Consequently, 26 patients were included in each group. We analyzed the learning curve based on the operation time in SPLDP. Results Single‐port laparoscopic distal pancreatectomy could be performed with fewer trocars ( P< 0.001) and assistants ( P< 0.001). However, compared to the LDP group, mean operation time was longer (278.9 vs. 178.7 min, P< 0.001) and splenic vessel preservation rates were lower (0% vs. 46.2%, P< 0.001) in the SPLDP group. The mean pain visual analogue scale score was significantly lower at postoperative day 1 ( P< 0.001) and day 2 ( P< 0.001) in the SPLDP group. The learning curve was determined in the 12th case for SPLDP. Conclusions Single‐port laparoscopic distal pancreatectomy is comparable in safety to conventional laparoscopic approaches for distal pancreatic neoplasms, with fewer trocars, assistants and less pain; however, operation time was longer..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
Journal of Hepato‐Biliary‐Pancreatic Sciences - 26(2019), 9, Seite 401-409 |
| Beteiligte Personen: |
Park, Pyoungjae [VerfasserIn] |
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| BKL: |
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| Anmerkungen: |
Copyright © 2019 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery |
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| Umfang: |
9 |
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| doi: |
10.1002/jhbp.646 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
WLY008821046 |
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| 520 | |a Abstract Background Single‐port laparoscopic approaches are well established in the field of minimally invasive surgery; however, single‐port laparoscopic distal pancreatectomy (SPLDP) has not been evaluated in a large number of distal pancreatic neoplasms. We aimed to compare single‐port laparoscopic distal pancreatectomy outcomes with conventional laparoscopic distal pancreatectomy (LDP) outcomes. Methods We retrospectively evaluated the medical records of 101 patients who underwent SPLDP ( n= 26) or LDP ( n= 75). We performed 1:1 propensity score matching between the two groups. Consequently, 26 patients were included in each group. We analyzed the learning curve based on the operation time in SPLDP. Results Single‐port laparoscopic distal pancreatectomy could be performed with fewer trocars ( P< 0.001) and assistants ( P< 0.001). However, compared to the LDP group, mean operation time was longer (278.9 vs. 178.7 min, P< 0.001) and splenic vessel preservation rates were lower (0% vs. 46.2%, P< 0.001) in the SPLDP group. The mean pain visual analogue scale score was significantly lower at postoperative day 1 ( P< 0.001) and day 2 ( P< 0.001) in the SPLDP group. The learning curve was determined in the 12th case for SPLDP. Conclusions Single‐port laparoscopic distal pancreatectomy is comparable in safety to conventional laparoscopic approaches for distal pancreatic neoplasms, with fewer trocars, assistants and less pain; however, operation time was longer. | ||
| 700 | 1 | |a Han, Hyung Joon |4 aut | |
| 700 | 1 | |a Song, Tae‐Jin |4 aut | |
| 700 | 1 | |a Choi, Sae Byeol |4 aut | |
| 700 | 1 | |a Kim, Wan‐Bae |4 aut | |
| 700 | 1 | |a Yoo, Young Dong |4 aut | |
| 700 | 1 | |a Kim, Dong‐Sik |4 aut | |
| 700 | 1 | |a Cha, Jae Hyung |4 aut | |
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