کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282716 1611764 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Perioperative outcomes of laparoscopic and open distal pancreatectomy: Our institution’s 5-year experience
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Perioperative outcomes of laparoscopic and open distal pancreatectomy: Our institution’s 5-year experience
چکیده انگلیسی

SummaryBackgroundApplication of minimally invasive techniques in the surgical management of distal pancreatic lesions is increasing. Despite this, numbers of laparoscopic distal pancreatectomy remain low and limited to treatment of benign and premalignant lesions.MethodsRetrospective analysis of 31 patients who underwent distal pancreatectomy from 2005 to 2010. Patients were grouped according to mode of surgical access: open (ODP) or laparoscopic (LDP). Perioperative parameters were compared.ResultsTwenty-one (67.7%) patients underwent ODP and 10 (32.3%) LDP (median age 61; 80.0% females in LDP group, p = 0.030). Postoperative morbidity rate were comparable between the two groups. In the LDP group, there were significantly lower estimated blood loss (p < 0.001) and amount of blood transfusion (p = 0.001), smaller tumor size (p = 0.010) and fewer lymph nodes harvested (p = 0.020), shorter postoperative length of stay (p = 0.020), and shorter length of stay in surgical high dependency (p = 0.001).ConclusionLDP is a safe, efficient technique for resection of benign and premalignant pancreatic lesions. Indices reflecting perioperative outcomes in this study are highly competitive with those in other major centers.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Journal of Surgery - Volume 35, Issue 1, January 2012, Pages 29–36
نویسندگان
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