title: Laparoscopic distal pancreatectomy and open distal pancreatectomy: a nonrandomized comparative study.
abstract: Although laparoscopic distal pancreatectomy (LDP) is technically feasible, its benefits remain uncertain. The purpose of this study was to compare the clinical results of LDP and open distal pancreatectomy (ODP). The medical records of 14 consecutive patients who underwent LDP were reviewed and compared with those of 19 patients who underwent ODP. All patients were treated for benign or borderline malignant disease of the pancreas. Operation time was longer for LDP than for ODP (290.7 vs. 213.8 min, P=0.0022), and postoperative analgesics were administered less frequently for patients who underwent LDP. Patients treated by LDP had earlier recovery of bowel function, shorter time to oral intake, and shorter postoperative hospital stay than those treated by ODP. No difference in morbidity or inflammatory response was observed between the 2 groups. LDP for benign or borderline malignant disease of the pancreas provides benefits without increasing morbidity.
authors: Department of Surgery I, Oita University Faculty of Medicine, Oita, Japan. tmatsu@med.oita-u.ac.jp
authors: Toshifumi
authors: T
authors: Matsumoto
authors: Kohei
authors: K
authors: Shibata
authors: Masayuki
authors: M
authors: Ohta
authors: Kentaro
authors: K
authors: Iwaki
authors: Hiroki
authors: H
authors: Uchida
authors: Kazuhiro
authors: K
authors: Yada
authors: Masaki
authors: M
authors: Mori
authors: Seigo
authors: S
authors: Kitano
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome