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Clinical effects of laparoscopic versus open distal pancreatectomy

Xinbo Wang

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Abstract

Objective With the improvement of equipment and technology,laparoscopy has gained a gradual application to pancreatic surgery.The aim of this study was to compare the clinical outcomes of laparoscopic distal pancreatectomy(LDP) and open distal pancreatectomy(ODP).Methods We compared the intra-and post-operative data on 13 cases of pancreatic neoplasm treated by LDP with another 15 cases that underwent ODP.Results LDP was shown to be obviously superior to ODP in operation time,blood loss,hospitalization expenses,postoperative bowel recovery time,initial oral intake time,and length of hospital stay(P0.05).There were no statistically significant differences between the two groups in the rate of spleen-saving and incidence of postoperative pancreatic fistula(P0.05).Two cases of wound infection occurred in the ODP group,but none in the LDP group.Conclusion LDP is a safe surgical approach,with better short-term clinical effect than ODP.

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What this paper is about

Objective With the improvement of equipment and technology,laparoscopy has gained a gradual application to pancreatic surgery.The aim of this study was to compare the clinical outcomes of laparoscopic distal pancreatectomy(LDP) and open distal pancreatectomy(ODP).Methods We compared the intra-and post-operative data on 13 cases of pancreatic neoplasm treated by LDP with another 15 cases that underwent ODP.Results LDP was shown to be obviously superior to ODP in operation time,blood loss,hospitalization expenses,postoperative bowel recovery time,initial oral intake time,and length of hospital stay(P0.05).There were no statistically significant differences between the two groups in the rate of spleen-saving and incidence of postoperative pancreatic fistula(P0.05).Two cases of wound infection occurred in the ODP group,but none in the LDP group.Conclusion LDP is a safe surgical approach,with better short-term clinical effect than ODP.

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Available abstract

Objective With the improvement of equipment and technology,laparoscopy has gained a gradual application to pancreatic surgery.The aim of this study was to compare the clinical outcomes of laparoscopic distal pancreatectomy(LDP) and open distal pancreatectomy(ODP).Methods We compared the intra-and post-operative data on 13 cases of pancreatic neoplasm treated by LDP with another 15 cases that underwent ODP.Results LDP was shown to be obviously superior to ODP in operation time,blood loss,hospitalization expenses,postoperative bowel recovery time,initial oral intake time,and length of hospital stay(P0.05).There were no statistically significant differences between the two groups in the rate of spleen-saving and incidence of postoperative pancreatic fistula(P0.05).Two cases of wound infection occurred in the ODP group,but none in the LDP group.Conclusion LDP is a safe surgical approach,with better short-term clinical effect than ODP.

Key concepts: Medicine, Pancreatic fistula, Distal pancreatectomy, Blood loss, Surgery, Laparoscopy, Incidence (geometry), Pancreatectomy

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