Comparison of open with laparoscopic distal pancreatectomy: a single institution's transition over a 7‐year period

Abstract

Laparoscopic distal pancreatectomy continues to compare favourably with ODP when well-matched patient series are reviewed. The results show a decreased need for blood transfusions and hospital resources in LDP. Additionally, there may be oncologic advantages associated with LDP compared with ODP in pancreatic malignancies.

Outcomes in 132 patients following laparoscopic total mesorectal excision (TME) for rectal cancer with greater than 5-year follow-up

“…Decreased pain, faster return of bowel function, less blood loss, and shorter length of stay with similar complication rates to open surgery have been consistent findings in the literature [8,9]. The laparoscopic treatment of colon cancer has gained acceptance as being comparable, if not superior oncologically to open surgery, while retaining these same advantages.…”

Laparoskopinės ir tradicinės distalinės kasos rezekcijos metodų palyginimas

“…Sutariama, kad tinkamiausia atlikti LDP esant gerybiniams kasos kūno uodegos pakitimams, kurie yra arba simptominiai (tokie kaip didelės serozinės cistadenomos), arba ikivėžinės ligos, turinčios piktybinės transformacijos potencialą (mucininė cisadenoma ir IPNM), ir neuroendokrininiai augliai [14,[16][17][18]. Nustatyti tikslią kasos neoplazijų diagnozę prieš operaciją yra sunku.…”

“…Mums pavyko išsaugoti blužnį su visaverte kraujotaka 21 LDP ir 25 TDP grupės ligoniams. Tai labai neblogas rezultatas lyginant su kitų autorių skelbtais duomenimis [13,14,[16][17][18].…”

Laparoscopic pancreatic resection—a review

“…Resection margin status was also studied in the metaanalysis by Mehrabi et al (9): four studies (32-35) reported comparable R0 rates in both groups (592 patients) (OR: 1.63; 95% CI: 0.65-4.07; P=0.29), while the rate of R1 resections was lower in the LDP group (520 patients) (OR: 0.34; 95% CI: 0.14-0.83; P=0.02) (19,(34)(35)(36).…”