|
KMID : 1143920190230030252
|
|
Annals of Hepato-Biliary-Pancreatic Surgery
2019 Volume.23 No. 3 p.252 ~ p.257
|
|
|
Outcome of minimally-invasive versus open pancreatectomies for solid pseudopapillary neoplasms of the pancreas: A 2:1 matched case-control study
|
|
Tan Hwee Leong
Tan Ek Khoon
Teo Jin Yao
Kam Juinn Huar
Lee Ser Yee
Cheow Peng Chung
Jeyaraj Prema Raj
Chow Pierce K. H.
Chung Alexander Y. F.
Ooi London L.
Chan Chung Yip
Goh Brian K. P.
|
|
|
Abstract
|
|
|
Backgrounds/Aims: Solid pseudopapillary neoplasm (SPPN) is typically seen in young healthy females who would likely benefit from minimally-invasive pancreatectomy (MIP). A few comparative studies have suggested that MIP is associated with favorable outcomes when compared to the open approach for SPPN. This study aims to mitigate potential selection bias by performing a matched case-control study comparing MIP vs open pancreatectomy (OP) for SPPN.
Methods: We performed a single-institution retrospective electronic chart review of all patients who underwent surgery for pathologically confirmed SPPN between 2000 and 2017. A 2:1 matched comparison using age, gender, tumor size and the type of pancreatectomy was performed between OP and MIP.
Results: A total of 40 patients with a median age of 40.3 years (range 16.5-64.4) and female sex predominance (n=34, 85.0%) underwent surgery during the study period. Nine patients underwent MIP. Matched comparison between 18 OP and 9 MIP demonstrated that MIP was associated with a longer median operating time (305 vs 180 min, p=0.046) and shorter median postoperative stay (6 vs 9 days, p=0.015). There were no significant differences in intraoperative blood loss, blood transfusion requirements, postoperative morbidity (including postoperative pancreatic fistula) and mortality, resection margins, lymph node yield and long-term survival.
Conclusions: MIP is a safe and viable option in the management of SPPN with the benefit of a shorter postoperative length of stay at the expense of a longer operation time. There was no significant difference in oncologic outcomes between both groups of patients.
|
|
|
KEYWORD
|
|
|
Laparoscopic pancreatectomy, Minimally-invasive pancreatectomy, Robotic pancreatectomy, Solid pseudopapillary neoplasm
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|