Comparison of clinical outcomes and quality of life between laparoscopic and open central pancreatectomy with pancreaticojejunostomy

Zhang, Ren-Chao; Zhang, Bin; Mou, Yiping; Xu, Xiaorong; Zhou, Yucheng; Huang, Chaojie; Zhou, Jiayu; Jin, Weiwei; Lu, Chao

doi:10.1007/s00464-017-5552-7

Cited by 41 publications

(41 citation statements)

References 25 publications

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“…The present study used the new version of the International Study Group (ISGPS) de nition and grading of postoperative pancreatic stula [11]. Our pilot studies showed that the morbidity rates and PF rates of LE, LSPDP and LCP were similar to those of open surgery [14,15,16,18]. Therefore, we believe that it is not the type of technique (laparoscopic or open) but the patient's condition and the operation's di culty level that are associated with PF formation.…”

Section: Discussionmentioning

confidence: 92%

“…Hence, organ-sparing pancreatectomy has increasingly become an option to treat benign or low-grade malignant tumours to preserve the pancreatic parenchyma and spleen as much as possible. Zhang et al [14,15,18]reported that LE, LSPDP and LCP are safe and feasible for benign or borderline malignant lesions with a faster recovery. LCP is associated with better quality of life [18].…”

Section: Discussionmentioning

confidence: 99%

“…The surgeon and the second assistant who held the laparoscope stood on the right side of the patient, and the rst assistant stood on the left side. Five trocars (three 5-mm trocars and two 10/12-mm trocars) were used, and the ve trocars were arranged in a V shape [14][15][16][17][18].…”

Section: Operative Techniquementioning

confidence: 99%

“…The surgical techniques for LE, LSPDP, and LCP have been previously described in detail elsewhere [1] [14][15][16][17][18].…”

Section: Laparoscopic Enucleation Laparoscopic Spleen-preserving Dismentioning

confidence: 99%

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Short- and long-term outcomes of laparoscopic organ-sparing resection for pancreatic neuroendocrine neoplasms

Zhang

Mou

et al. 2020

Preprint

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Abstract Background：Pancreatic neuroendocrine neoplasms (PNENs) are rare neoplasms associated with a long life expectancy after resection. In this setting, patients may benefit from laparoscopic organ-sparing resection. Studies of laparoscopic organ-sparing resection for PNENs are limited. The aim of this study was to evaluate the short- and long-term outcomes of laparoscopic organ-sparing resection for PNENs.Methods： A retrospective study was performed for patients with PNENs who underwent laparoscopic organ-sparing pancreatectomy between March 2005 and May 2018. The patients’ demographic data, operative results, pathological reports, hospital courses and morbidity, mortality, and follow-up data (until August 2018) were analysed.Results：Thirty-five patients were included in the final analysis. There were 9 male and 26 female patients, with a median age of 46 years (range, 25-75 years). The mean BMI was 24.6±3.3 kg/m2. Nine patients received laparoscopic enucleation (LE), 20 received laparoscopic spleen-preserving distal pancreatectomy (LSPDP), and 6 received laparoscopic central pancreatectomy. The operative time, intraoperative blood loss, transfusion rate, and postoperative hospital stay were 186.4±60.2 min, 165±73.0 ml, 0 d, and 9 d (range, 5-23 d), respectively. The morbidity rate, grade ≥III complication rate and grade ≥B pancreatic fistula rate were 34.2%, 11.4%, and 8.7%, respectively, with no mortality. The rate of follow-up was 94.3%, and the median follow-up time was 55 months (range, 3-158 months). One patient developed recurrence 36 months after LE and was managed with surgical resection. The other patients survived without metastases or recurrence during the follow-up. One patient had diabetes after laparoscopic spleen-preserving distal pancreatectomy, and no patients had symptoms of pancreatic exocrine insufficiency. Conclusions： Laparoscopic organ-sparing resection for selected cases of PNENs is safe and feasible and has favourable short- and long-term outcomes.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Operative Techniquementioning

confidence: 99%

“…The surgical techniques for LE, LSPDP, and LCP have been previously described in detail elsewhere [1] [14][15][16][17][18].…”

Section: Laparoscopic Enucleation Laparoscopic Spleen-preserving Dismentioning

confidence: 99%

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Short- and long-term outcomes of laparoscopic organ-sparing resection for pancreatic neuroendocrine neoplasms

Zhang

Mou

et al. 2020

Preprint

Self Cite

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“…One of the first comparative studies between minimally invasive and open central pancreatectomy conducted by Song et al demonstrated longer operative time but shorter hospital stay for MICP [64]. Another similar report from Asia suggests less blood loss as well as shorter first flatus and diet start times following laparoscopic central pancreatectomy [65]. Quality of life parameters were higher for laparoscopy compared to the open approach yet without statistical significance.…”

Section: Other Minimally Invasive Proceduresmentioning

confidence: 99%

Minimally invasive pancreatic surgery—where are we going?

et al. 2019

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Background Introduced in the mid-1990s, minimally invasive pancreatic surgery (MIPS) developed slowly over the next two decades, and its real-life benefits remained unclear. Methods In this review, the current status and evidence on the most common types of MIPS, such as minimally invasive pancreatoduodenectomy (MIPD), distal pancreatectomy, enucleation, and central pancreatectomy are presented. Results Minimally invasive distal pancreatectomy (MIDP) is the most frequently used procedure among

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Pancreatic Middle Segment Resection of Cystic Neoplasms

Iacono

Bellis

2023

The Pancreas

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Comparison of clinical outcomes and quality of life between laparoscopic and open central pancreatectomy with pancreaticojejunostomy

Abstract: LCP with pancreaticojejunostomy is safe and feasible for benign or borderline malignant lesions in the pancreatic neck and proximal body. Compared to OCP, LCP is associated with lower estimated blood loss, faster recovery, and better quality of life.

Cited by 41 publications

References 25 publications

Short- and long-term outcomes of laparoscopic organ-sparing resection for pancreatic neuroendocrine neoplasms

Short- and long-term outcomes of laparoscopic organ-sparing resection for pancreatic neuroendocrine neoplasms

Minimally invasive pancreatic surgery—where are we going?

Pancreatic Middle Segment Resection of Cystic Neoplasms

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