Laparoscopic pancreatoduodenectomy with open or laparoscopic reconstruction during the learning curve: a multicenter propensity score matched study. Issue 7 (July 2019)
- Record Type:
- Journal Article
- Title:
- Laparoscopic pancreatoduodenectomy with open or laparoscopic reconstruction during the learning curve: a multicenter propensity score matched study. Issue 7 (July 2019)
- Main Title:
- Laparoscopic pancreatoduodenectomy with open or laparoscopic reconstruction during the learning curve: a multicenter propensity score matched study
- Authors:
- van Hilst, Jony
de Rooij, Thijs
van den Boezem, Peter B.
Bosscha, Koop
Busch, Olivier R.
van Duijvendijk, Peter
Festen, Sebastiaan
Gerhards, Michael F.
de Hingh, Ignace H.
Karsten, Tom M.
Kazemier, Geert
Lips, Daniel J.
Luyer, Misha D.
Nieuwenhuijs, Vincent B.
Patijn, Gijs A.
Stommel, Martijn W.
Zonderhuis, Babs M.
Daams, Freek
Besselink, Marc G. - Abstract:
- Abstract: Background: Laparoscopic pancreatoduodenectomy with open reconstruction (LPD-OR) has been suggested to lower the rate of postoperative pancreatic fistula reported after laparoscopic pancreatoduodenectomy with laparoscopic reconstruction (LPD). Propensity score matched studies are, lacking. Methods: This is a multicenter prospective cohort study including patients from 7 Dutch centers between 2014–2018. Patients undergoing LPD-OR were matched LPD patients in a 1:1 ratio based on propensity scores. Main outcomes were postoperative pancreatic fistulas (POPF) grade B/C and Clavien-Dindo grade ≥3 complications. Results: A total of 172 patients were included, involving the first procedure for all centers. All 56 patients after LPD-OR could be matched to a patient undergoing LPD. With LPD-OR, the unplanned conversion rate was 21% vs. 9% with LPD ( P < 0.001). Median blood loss (300 vs. 400 mL, P = 0.85), operative time (401 vs. 378 min, P = 0.62) and hospital stay (10 vs. 12 days, P = 0.31) were comparable for LPD-OR vs. LPD, as were Clavien-Dindo grade ≥3 complications (38% vs. 52%, P = 0.13), POPF grade B/C (23% vs. 21%, P = 0.82), and 90-day mortality (4% vs. 4%, P > 0.99). Conclusion: In this propensity matched cohort performed early in the learning curve, no benefit was found for LPD-OR, as compared to LPD.
- Is Part Of:
- HPB. Volume 21:Issue 7(2019)
- Journal:
- HPB
- Issue:
- Volume 21:Issue 7(2019)
- Issue Display:
- Volume 21, Issue 7 (2019)
- Year:
- 2019
- Volume:
- 21
- Issue:
- 7
- Issue Sort Value:
- 2019-0021-0007-0000
- Page Start:
- 857
- Page End:
- 864
- Publication Date:
- 2019-07
- Subjects:
- Liver -- Diseases -- Periodicals
Biliary tract -- Diseases -- Periodicals
Pancreas -- Diseases -- Periodicals
616.362005 - Journal URLs:
- https://www.journals.elsevier.com/hpb/ ↗
http://www.hpbonline.org/current ↗
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1477-2574 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1016/j.hpb.2018.11.003 ↗
- Languages:
- English
- ISSNs:
- 1365-182X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4335.262340
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 11022.xml