Table 4.
Perioperative outcomes after matching
| Intraoperative outcomes | LSPDP (N = 173) | LDPS (N = 173) | P-value |
|---|---|---|---|
| Splenic preservation, n (%) | 150 (87) | – | – |
| SVP, n (%) | 101 (67) | – | – |
| Warshaw technique, n (%) | 49 (33) | – | – |
| Operative time, min (SD) | 234 (77) | 256 (88) | 0.02 |
| Estimated blood loss, mL (IQR) | 150 (100–270) | 175 (100–315) | 0.24 |
| Conversion, n (%) | 16 (9) | 22 (13) | 0.30 |
| Extended distal pancreatectomy, n (%) | 7 (4) | 6 (4) | 0.78 |
| Postoperative outcomes | |||
|---|---|---|---|
| Complications, n (%) | 73 (42) | 77 (45) | 0.95 |
| Major complications, n (%) | 28 (17) | 25 (15) | 0.60 |
| POPF B/C, n (%) | 31 (18) | 27 (16) | 0.58 |
| Grade | 0.36 | ||
| B | 26 | 20 | – |
| C | 5 | 7 | – |
| Splenic ischemia, n (%) | 13 (8) | – | – |
| 30-day mortality, n (%) | 1 (0.5) | – | 0.50 |
| Reoperation, n (%) | 10 (6) | 6 (4) | 0.29 |
| Hospital stay, days (IQR) | 6 (5–8) | 7 (5–8) | 0.22 |
| Blood transfusion, n (%) | 7 (4) | 17 (11) | 0.02 |
| Units, n (range) | 2 (1–2) | 2 (1–14) | 0.50 |
LSPDP laparoscopic spleen-preserving distal pancreatectomy, LDPS laparoscopic distal pancreatectomy with splenectomy, SVP splenic vessel preservation, POPF postoperative pancreatic fistula