Table 2.
Intraoperative and postoperative results in standard complexity laparoscopic and open distal pancreatectomies
| LDP (n = 70) | ODP (n = 45) | P-value | |
|---|---|---|---|
| Estimated blood loss, ml, mean ± SD | 113 ± 155 | 210 ± 274 | 0.03 |
| Length of surgery, min, mean ± SD | 145 ± 61 | 136 ± 60 | 0.44 |
| Intraoperative transfusion | 1 (1%) | 1 (2%) | 0.75 |
| Drains placed, n (%) | 63 (90%) | 40 (89%) | 0.85 |
| Hand assistance, n (%) | 21 (30%) | NA | NA |
| Conversions to open, n (%) | 5 (7%) | NA | NA |
| Tumour size, cm, mean ± SD | 3.73 ± 2.82 | 4.71 ± 4.63 | 0.26 |
| Length of pancreas removed, cm, mean ± SD | 9.80 ± 3.09 | 10.56 ± 4.04 | 0.29 |
| Number of nodes dissected, mean ± SD | 7.54 ± 7.91 | 9.02 ± 9.21 | 0.36 |
| Number of positive nodes (malignant cases only), mean ± SD | 0.33 ± 1.30 | 0.22 ± 0.74 | 0.62 |
| Morbidity, n (%) | 34 (49%) | 27 (60%) | 0.31 |
| Severe morbidity (Clavien score 3–5), n (%) | 8 (11%) | 8 (18%) | 0.49 |
| Clavien score for worst complication, mean ± SD | 1.73 ± 0.83 | 2.00 ± 1.11 | 0.29 |
| Pancreatic fistula (all grades), n (%) | 25 (36%) | 16 (36%) | 0.99 |
| Grade B/C fistula, n (%) | 10 (14%) | 6 (13%) | 0.89 |
| Hospital LoS, days, mean ± SD | 5.2 ± 2.4 | 7.7 ± 5.8 | 0.01 |
| Hospital LoS, days, median (range) | 5 (1–18) | 6 (2–30) | NA |
| 30-day readmission, n (%) | 9 (13%) | 8 (18%)- | 0.29 |
P-values in bold indicate differences of statistical significance (P < 0.05).
LDP, laparoscopic distal pancreatectomy; ODP, open distal pancreatectomy; SD, standard deviation; LoS, length of stay; NA, not applicable.