Table 3.
Intraoperative outcomes | LSPDP (N = 229) | LDPS (N = 227) | P-value |
---|---|---|---|
Splenic preservation, n (%) | 184 (80) | – | – |
SVP, n (%) | 124 (67) | – | – |
Warshaw technique, n (%) | 60 (33) | – | – |
Operative time, min (SD) | 231 (79) | 257 (87) | 0.002 |
Estimated blood loss, mL (IQR) | 150 (100–300) | 200 (100–320) | 0.18 |
Conversion, n (%) | 21 (9) | 34 (15) | 0.06 |
Extended distal pancreatectomy, n (%) | 9 (4) | 8 (4) | 0.82 |
Postoperative outcomes | |||
---|---|---|---|
Complications, n (%) | 89 (41) | 100 (45) | 0.49 |
Major complications, n (%) | 32 (14) | 35 (16) | 0.68 |
POPF B/C, n (%) | 36 (16) | 41 (18) | 0.49 |
Grade | 0.41 | ||
B | 30 | 31 | – |
C | 6 | 10 | – |
Splenic ischemia, n (%) | 16 (7) | – | – |
30-day mortality, n (%) | 2 (1) | – | 0.50 |
Reoperation, n (%) | 12 (5) | 9 (4) | 0.50 |
Hospital stay, days (IQR) | 6 (5–8) | 7 (5–9) | 0.01 |
Blood transfusion, n (%) | 14 (6) | 21 (10) | 0.13 |
Units, n (range) | 2 (1–6) | 2 (1–14) | 0.63 |
LSPDP laparoscopic spleen-preserving distal pancreatectomy, LDPS laparoscopic distal pancreatectomy with splenectomy, SVP splenic vessel preservation, POPF postoperative pancreatic fistula