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editorial
. 2024 Oct 27;16(10):3094–3103. doi: 10.4240/wjgs.v16.i10.3094

Table 1.

Minimally invasive vs open distal pancreatectomy published randomized clinical trials

  de Rooij T 2019 (LEOPARD), Lps vs Open[11] Björnsson 2020 (LAPOP), Lps vs Open[14] Korrel 2023 (DIPLOMA), Lps/Robotic vs Open[23]
Enrollment period 2015-2017 2015-2019 2018-2021
MI O P value MI O P value MI O P value
n 51 57 29 29 114 110
OT (minute) 217 179 0.005 120 120 NS 240 209 0.01
EBL (mL) 150 400 0.001 50 100 0.018 200 200 0.06
CR-POPF (%) 39 23 0.07 31 37 NS 21 17 NS
DGE (%) 6 19 0.04 3 17 NS 2 3 NS
PPH (%) 4 4 NS 3 0 NS 2 3 NS
SSI (%) 4 5 NS 5 5 NS
Reintervention (%) 2 5 NS 17 17 NS
Severe morbidity (Clavien-Dindo ≥ 3) (%) 25 38 NS 14 27 NS 19 20 NS
LOS (days) 6 8 0.004 6 8 0.008 7 7 NS
Readmission (%) 29 25 NS 4 6 NS 22 21 NS
90-day mortality (%) 0 2 NS 0 1 NS 1 2 NS
R0 (%) 83 76 0.039
N harvested Lymph nodes (n)   22 23 NS

OT: Operative time; EBL: Estimated blood loss; CR-POPF: Clinically relevant-post-operative pancreatic fistula; DGE: Delayed gastric emptying; PPH: Post-pancreatectomy hemorrhage; SSI: Surgical site infection; LOS: Length of stay.