Safety and Feasibility of Single-incision Laparoscopic Distal Pancreatectomy
Journal
Surgical laparoscopy, endoscopy & percutaneous techniques
Journal Volume
32
Journal Issue
4
Pages
488
Date Issued
2022-08-01
Author(s)
Sasaki, Toshihide
Nakagawa, Kenji
Nagai, Minako
Nishiwada, Satoshi
Terai, Taichi
Sho, Masayuki
Abstract
Background: Comparative studies regarding single-incision laparoscopic distal pancreatectomy (SILS-DP) are limited. This study aimed to compare the short-term outcomes of SILS-DP with conventional laparoscopic DP (C-LDP) under strict indication criteria.
Materials and methods: We retrospectively reviewed the patient characteristics and surgical outcomes of those who underwent either SILS-DP or C-LDP at National Taiwan University (NTU) and C-LDP at Nara Medical University (NMU) between 2009 and 2019. SILS-DP was indicated for benign or low-grade malignant pancreatic tail tumors and was performed along with splenectomy.
Results: We compared 12 cases of SILS-DP with 31 of C-LDP from NTU and 17 of C-LDP from NMU. Patients in the SILS-DP group had significantly less blood loss than the C-LDP group at NTU ( P =0.028). Postoperative outcomes, including the postoperative hospital stay and clinically relevant pancreatic fistula, were not significantly different between the 2 groups. Although SILS-DP was performed by a surgeon who was well-experienced with laparoscopic surgeries, the first few cases had a larger amount of blood loss, longer operation time, and a higher rate of complications. Such unfavorable outcomes were likely to be resolved shortly. No reoperations and deaths were noted.
Conclusion: SILS-DP is feasible when performed by an experienced surgeon and in carefully selected patients.
Subjects
laparoscopy
distal pancreatectomy
single-incision laparoscopic surgery
safe introduction
pancreas tumor
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Type
journal article