Single-port laparoscopic distal pancreatectomy: Initial experience

Hyung Joon Han, Sam Youl Yoon, Taejin Song, Sae-Byeol Choi, Wan-Bae Kim, Sang Yong Choi, Seong-Heum Park

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Laparoscopic distal pancreatectomy has become the standard treatment of choice for pancreatic tail cystic and solid tumors when technically feasible. Technological advances have led to the development of single-port laparoscopic surgery, a safe alternative procedure. We present our experiences with single-port laparoscopic distal pancreatectomy.

Materials and Methods: We retrospectively reviewed clinical records and compared clinical outcomes in 40 patients diagnosed with a pancreatic tail mass between 2007 and 2013 who received either conventional laparoscopic (n=28) or single-port laparoscopic distal pancreatectomy (n=12).

Results: The mean surgery time in the single-port group (279.8±53.0 minutes) was significantly longer than in the conventional group (186.9±86.6 minutes) (P=.001). The mean duration of postoperative hospital stay in the single-port group (12.2±5.4 days) was also significantly longer than in the conventional group (8.3±4.7 days) (P=.028). The spleen was preserved more in the conventional group (60.7%) than in the single-port group (33.3%), but the difference was not significant (P=.112). There were no significant differences in intraoperative blood loss, tumor size, conversion rate, or postoperative complications between the two groups.

Conclusions: Blood loss and postoperative complications of single-port laparoscopic distal pancreatectomy are similar to those of conventional laparoscopic distal pancreatectomy. Single-port laparoscopic distal pancreatectomy can be performed safely and effectively in select patients with pancreas tail neoplasms, but is associated with a longer surgery time and postoperative hospital stay.

Original languageEnglish
Pages (from-to)858-863
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume24
Issue number12
DOIs
Publication statusPublished - 2014 Jan 1

ASJC Scopus subject areas

  • Surgery

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