Single-Port Laparoscopic Distal Pancreatectomy: Initial Experience

Abstract

Blood loss and postoperative complications of single-port laparoscopic distal pancreatectomy are similar to those of conventional laparoscopic distal pancreatectomy. Single-port laparoscopic distal pancreatectomy can be performed safely and effectively in select patients with pancreas tail neoplasms, but is associated with a longer surgery time and postoperative hospital stay.

Minimally invasive preservation versus splenectomy during distal pancreatectomy: a systematic review and meta‐analysis

“…The search strategy yielded 411 articles and we checked the title and abstract of the studies according to the inclusion and exclusion criteria and selected 53 articles. After the full texts of the remaining articles were read, 15 articles were included in the meta-analysis of MI-SPDP versus MI-DPS [13,[17][18][19][20][21][22][23][24][25][26][27][28][29][30] and 15 articles were included in the meta-analysis of MI-SVP versus MI-WT [13,23,[31][32][33][34][35][36][37][38][39][40][41][42][43]. Figure 1 shows the flow diagram of study identification and evaluation during the review process.…”

Minimally Invasive Distal Pancreatectomy: Review of the English Literature

“…There were no significant differences in intraoperative blood loss, tumor size, conversion rate, or postoperative complications between the two groups. 48 However, Yao et al and Haugvik et al reported that there were no significant differences in operative time, estimated blood loss, postoperative pain, and the length of postoperative hospital stay, even more so in the S-LDP group. 45,47 Most of the current research include retrospective studies or case reports; thus, the advantages of S-LDP require further exploration.…”

“…At present, most studies suggest that S-LDP is safe and feasible. 11,38,[45][46][47][48] Han reported that the mean operative time and mean duration of hospital stay in the S-LDP group were significantly longer than in the LDP group. The spleen was preserved more in the C-LDP group than in the S-LDP group, but this difference was not found to be significant.…”

Minimally Invasive (Laparoscopic or Robotic) Reduced Port (Single Port) Distal Pancreatectomy

“…Among them, 12 publications described individual patient short-term perioperative outcomes, and a total of 58 patients were selected to evaluate perioperative outcomes after LSP/LRP-DP (Table 2). There were four retrospective [9][10][11][12] comparative analyses between LSP/LRP-DP and conventional LDP. The most frequently used surgical system for LRP-DP was single-port with an additional 2-mm or 5-mm assist port.…”

“…11 Among them, two 10,11 were reported by members of Korean Society of Endoscopic and Laparoscopic Surgery (KSELS). 14 The perioperative outcomes investigated in each study are summarized in Table 4.…”