Abstract
Background: Single-port laparoscopic approaches are well established in the field of minimally invasive surgery; however, single-port laparoscopic distal pancreatectomy (SPLDP) has not been evaluated in a large number of distal pancreatic neoplasms. We aimed to compare single-port laparoscopic distal pancreatectomy outcomes with conventional laparoscopic distal pancreatectomy (LDP) outcomes. Methods: We retrospectively evaluated the medical records of 101 patients who underwent SPLDP (n = 26) or LDP (n = 75). We performed 1:1 propensity score matching between the two groups. Consequently, 26 patients were included in each group. We analyzed the learning curve based on the operation time in SPLDP. Results: Single-port laparoscopic distal pancreatectomy could be performed with fewer trocars (P < 0.001) and assistants (P < 0.001). However, compared to the LDP group, mean operation time was longer (278.9 vs. 178.7 min, P < 0.001) and splenic vessel preservation rates were lower (0% vs. 46.2%, P < 0.001) in the SPLDP group. The mean pain visual analogue scale score was significantly lower at postoperative day 1 (P < 0.001) and day 2 (P < 0.001) in the SPLDP group. The learning curve was determined in the 12th case for SPLDP. Conclusions: Single-port laparoscopic distal pancreatectomy is comparable in safety to conventional laparoscopic approaches for distal pancreatic neoplasms, with fewer trocars, assistants and less pain; however, operation time was longer.
| Original language | English |
|---|---|
| Journal | Journal of Hepato-Biliary-Pancreatic Sciences |
| DOIs | |
| Publication status | Published - 2019 Jan 1 |
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Keywords
- Distal pancreatectomy
- Laparoscopic
- Learning curve
- Single-port
ASJC Scopus subject areas
- Surgery
- Hepatology
Cite this
Single-port versus conventional laparoscopic distal pancreatectomy : a propensity score matched analysis and a learning curve of single-port approach. / Park, Pyoungjae; Han, Hyung Joon; Song, Taejin; Choi, Sae-Byeol; Kim, Wan-Bae; Yoo, Young Do; Kim, Dong-Sik; Cha, Jae Hyung.
In: Journal of Hepato-Biliary-Pancreatic Sciences, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Single-port versus conventional laparoscopic distal pancreatectomy
T2 - a propensity score matched analysis and a learning curve of single-port approach
AU - Park, Pyoungjae
AU - Han, Hyung Joon
AU - Song, Taejin
AU - Choi, Sae-Byeol
AU - Kim, Wan-Bae
AU - Yoo, Young Do
AU - Kim, Dong-Sik
AU - Cha, Jae Hyung
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Background: Single-port laparoscopic approaches are well established in the field of minimally invasive surgery; however, single-port laparoscopic distal pancreatectomy (SPLDP) has not been evaluated in a large number of distal pancreatic neoplasms. We aimed to compare single-port laparoscopic distal pancreatectomy outcomes with conventional laparoscopic distal pancreatectomy (LDP) outcomes. Methods: We retrospectively evaluated the medical records of 101 patients who underwent SPLDP (n = 26) or LDP (n = 75). We performed 1:1 propensity score matching between the two groups. Consequently, 26 patients were included in each group. We analyzed the learning curve based on the operation time in SPLDP. Results: Single-port laparoscopic distal pancreatectomy could be performed with fewer trocars (P < 0.001) and assistants (P < 0.001). However, compared to the LDP group, mean operation time was longer (278.9 vs. 178.7 min, P < 0.001) and splenic vessel preservation rates were lower (0% vs. 46.2%, P < 0.001) in the SPLDP group. The mean pain visual analogue scale score was significantly lower at postoperative day 1 (P < 0.001) and day 2 (P < 0.001) in the SPLDP group. The learning curve was determined in the 12th case for SPLDP. Conclusions: Single-port laparoscopic distal pancreatectomy is comparable in safety to conventional laparoscopic approaches for distal pancreatic neoplasms, with fewer trocars, assistants and less pain; however, operation time was longer.
AB - Background: Single-port laparoscopic approaches are well established in the field of minimally invasive surgery; however, single-port laparoscopic distal pancreatectomy (SPLDP) has not been evaluated in a large number of distal pancreatic neoplasms. We aimed to compare single-port laparoscopic distal pancreatectomy outcomes with conventional laparoscopic distal pancreatectomy (LDP) outcomes. Methods: We retrospectively evaluated the medical records of 101 patients who underwent SPLDP (n = 26) or LDP (n = 75). We performed 1:1 propensity score matching between the two groups. Consequently, 26 patients were included in each group. We analyzed the learning curve based on the operation time in SPLDP. Results: Single-port laparoscopic distal pancreatectomy could be performed with fewer trocars (P < 0.001) and assistants (P < 0.001). However, compared to the LDP group, mean operation time was longer (278.9 vs. 178.7 min, P < 0.001) and splenic vessel preservation rates were lower (0% vs. 46.2%, P < 0.001) in the SPLDP group. The mean pain visual analogue scale score was significantly lower at postoperative day 1 (P < 0.001) and day 2 (P < 0.001) in the SPLDP group. The learning curve was determined in the 12th case for SPLDP. Conclusions: Single-port laparoscopic distal pancreatectomy is comparable in safety to conventional laparoscopic approaches for distal pancreatic neoplasms, with fewer trocars, assistants and less pain; however, operation time was longer.
KW - Distal pancreatectomy
KW - Laparoscopic
KW - Learning curve
KW - Single-port
UR - http://www.scopus.com/inward/record.url?scp=85069903635&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069903635&partnerID=8YFLogxK
U2 - 10.1002/jhbp.646
DO - 10.1002/jhbp.646
M3 - Article
C2 - 31211913
AN - SCOPUS:85069903635
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
SN - 1868-6974
ER -