Table 7.
Open distal pancreatectomy versus laparoscopic converted to open distal pancreatectomy
| Variable | Open (n=168) | Converted (n=24) | p-value |
|---|---|---|---|
| Intraoperative characteristics | |||
| Operating room time, minutes | |||
| Median (IQR*) | 265 (233–321) | 343 (315–400) | 0.02 |
| Anesthesia time, minutes | |||
| Median (IQR) | 228 (199–285) | 325 (295–365) | <0.01 |
| Incision time, minutes | |||
| Median (IQR) | 192 (157–236) | 275 (237–329) | <0.01 |
| Intraoperative blood loss, mL | |||
| Median (IQR) | 800 (400–1400) | 1000 (650–1500) | 0.09 |
| Splenic preservation (%) | 26 (15.5) | 4 (16.7) | 0.77 |
| Prior splenectomy (%) | 3 (1.8) | 1 (4.2) | |
| Pathology | |||
| Benign (%) | 100 (59.5) | 18 (75.0) | |
| Malignant (%) | 68 (40.5) | 6 (25.0) | |
| Pancreatic ductal adenocarcinoma | 52 | 6 | 0.30 |
| Other | 16 | 0 | |
| Lesion size, cm | |||
| Median (IQR) | 3.5 (2.0–6.0) | 4.0 (2.4–5.9) | 0.74 |
| Length of resected pancreas, cm | |||
| Mean (SD†) | 9.8 (3.6) | 11.2 (4.0) | 0.12 |
| Postoperative outcomes | |||
| Overall morbidity (%) | 71 (42.3) | 13 (54.2) | 0.27 |
| Major morbidity (%) | 32 (19.0) | 4 (16.7) | 1.00 |
| Pancreatic fistula (%) | 25 (14.9) | 2 (8.3) | 0.54 |
| Reoperation (%) | 5 (3.0) | 2 (8.3) | 0.21 |
| Readmission (%) | 16 (9.5) | 1 (4.2) | 0.70 |
| Mortality (%) | 1 (0.6) | 1 (4.2) | 0.23 |
| Length of stay, days | |||
| Median (IQR) | 6 (5–8) | 6 (4.5–8.5) | 0.66 |
*
Interquartile range (IQR)
†
Standard deviation (SD)