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.