TITLE

Single-Port Laparoscopic Distal Pancreatectomy: Initial Experience

AUTHOR(S)
Han, Hyung Joon; Yoon, Sam-Youl; Song, Tae-Jin; Choi, Sae Byeol; Kim, Wan-Bae; Choi, Sang-Yong; Park, Seong-Heum
PUB. DATE
December 2014
SOURCE
Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2014, Vol. 24 Issue 12, p858
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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.
ACCESSION #
99961262

 

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