Table 5.
Intraoperative and postoperative results of laparoscopic and laparoscopic hand-assisted distal pancreatectomies
| LDP (n = 49) | LHDP (n = 21) | P-value | |
|---|---|---|---|
| Estimated blood loss, ml, mean ± SD | 76 ± 71 | 197 ± 244 | 0.04 |
| Length of surgery, min, mean ± SD | 138.40 ± 62.8 | 160.2 ± 55.8 | 0.19 |
| Intraoperative transfusion, n (%) | 0 | 1 (5%) | 0.66 |
| Drains placed, n (%) | 44 (90%) | 19 (90%) | 1.00 |
| Tumour size, cm, mean ± SD | 3.07 ± 2.34 | 5.15 ± 3.30 | <0.01 |
| Size of pancreas removed, cm, mean ± SD | 9.84 ± 3.21 | 9.70 ± 2.89 | 0.85 |
| Number of LNs recovered, mean ± SD | 7.3 ± 7.75 | 8.14 ± 8.45 | 0.69 |
| Morbidity, n (%) | 22 (41%) | 12 (58%) | 0.50 |
| Severe morbidity (Clavien score 3–5), n (%) | 6 (12%) | 2 (10%) | 1.00 |
| Pancreatic fistula (all grades), n (%) | 15 (31%) | 10 (48%) | 0.28 |
| Grade B/C fistula, n (%) | 6 (12%) | 4 (19%) | 0.71 |
| Hospital LoS, days, mean ± SD | 5.1 ± 2.1 | 5.6 ± 3.1 | 0.42 |
| Hospital LoS, days, median (range) | 5 (1–14) | 5 (3–18) | NA |
| 30-day readmissions, n (%) | 6 (12%) | 3 (14%) | 1.00 |
P-values in bold indicate differences of statistical significance (P < 0.05).
LDP, laparoscopic distal pancreatectomy; LHDP, laparoscopic hand-assisted distal pancreatectomy; SD, standard deviation; LN, lymph nodes; LoS, length of stay; NA, not applicable.