Table 4.
The outcomes and postoperative details of three groups
| Variables | LPPPD n = 83 | LCP n = 20 | LSPDP n = 41 | P value | |
|---|---|---|---|---|---|
| P1 | P2 | ||||
| Tumor size (cm) | 3.8 ± 1.1 | 2.8 ± 0.8 | 3.6 ± 2.2 | < 0.001 | 0.060 |
| OT (min) | 300.4 ± 89.7 | 197.5 ± 30.5 | 174.8 ± 46.4 | < 0.001 | 0.027 |
| Conversion (n, %) | 1 (1.2%) | 0 (0%) | 0 (0%) | 1.000 | NA† |
| EBL (mL) | 140.0 (50.0–1000.0) | 50.0 (20.0–200.0) | 100.0 (20.0–300.0) | < 0.001 | 0.039 |
| BT (n, %) | 2 (2.4%) | 0 (0%) | 0 (0%) | 1.000 | NA† |
| POHS (days) | 11.0 (9.0–14.0) | 14.5 (12.3–23.0) | 10.0 (9.0–11.0) | < 0.001 | < 0.001 |
| CR-POPF (n, %) | 3 (3.6%) | 8 (40.0%) | 3 (7.3%) | < 0.001 | 0.006 |
| PPH (n, %) | 0 (0%) | 2 (10.0%) | 0 (0%) | 0.036 | 0.104 |
| DGE (n, %) | 5 (6.0%) | 3 (15.0%) | 1 (2.4%) | 0.378 | 0.090 |
| Reoperation* | 0 (0%) | 1 (5.0%) | 0 (0%) | 0.194 | 0.328 |
| CL (n, %) | 1 (1.2%) | 0 (0%) | 0 (0%) | 1.000 | NA† |
| Biliary fistula | 0 (0%) | 0 (0%) | 0 (0%) | NA† | NA† |
| Complications (Clavien—Dindo ≥ Grade 3) | 2 (2.4%) | 4 (20.0%) | 0 (0%) | 0.012 | 0.009 |
| 90-Day mortality | 0 (0.0%) | 0 (0%) | 0 (0%) | NA† | NA† |
| Follow-up | |||||
| Postoperative pancreatitis | 5 (6.0%) | 2 (10.0%) | 0 (0%) | 0.889 | 0.104 |
| Pancreatin treatment | 33 (39.8%) | 3 (15.0%) | 10 (24.4%) | 0.037 | 0.390 |
| Insulin treatment | 15 (18.1%) | 0 (0%) | 5 (12.2%) | 0.040 | 0.041 |
Bold value indicates statistical significance (P < 0.05; P1: LPPPD group vs. LCP group; P2: LSPDP group vs. LCP group)
LPPPD laparoscopic pylorus-preserving pancreaticoduodenectomy, LSPDP laparoscopic spleen-preserving distal pancreatectomy, LCP laparoscopic central Pancreatectomy, OT operative time, EBL estimated blood loss, BT blood transfusion, POHS post-operative hospital stay, CR-POPF clinically relevant postoperative pancreatic fistula, PPH post-pancreatectomy hemorrhage, DGE delayed gastric emptying, CL Chylous leakage
*Reoperation: only including open surgery, laparoscopic surgery and interventional surgery
†NA: Not Applicable