Detailed Abstract
[E-poster]
[EP118] Minimally Invasive vs. Open Pancreatectomy for Nonfunctioning Pancreatic Neuroendocrine Tumors: A Single Institution’s Experience
Juwan KIM1, Chang Moo KANG*1, 2, Ho Kyoung HWANG1, Woo Jung LEE1
1Department of surgery, Yonsei university College of Medicine, Korea
2Division of HBP Surgery, Pancreatobiliary Cancer Center, Yonsei Cancer Center, Severance Hospital, Korea
Introduction : The mainstay of treating NF-PNETs is surgical resection. However, minimally invasive approaches to pancreatic resection for treating NF-PNETs are not widely accepted and the long-term oncological outcomes of such approaches remain unknown. The objective of the current study was to determine the short- and long‐term outcomes of minimally invasive pancreas resections conducted on patients with NF-PNETs.
Methods : Severance Hospital’s prospective databases were searched for 110 patients who underwent curative resections for NF-PNETs between January 2003 and August 2018.
Results : The proportion of NF-PNET treatments accounted for by minimally invasive approaches (MIS) increased to over 75% after 2013. there was no significant difference in post-operative complications (p=0.654), including post-operative pancreatic fistula (p=0.890) and delayed gastric emptying (p=0.652), between MIS and open approach. No statistically significant difference was also noted in disease-free survival between the open group and the MIS group (median follow-up period of 28.1 months, p = 0.428). In addition, surgical approach (MIS vs Open) was not found to be independent prognostic factor in treating NF-PNET patients (Exp(β)=1.062, p-value=0.929).
Conclusions : There was no significant difference the short- and long-term outcomes of open resection and minimally invasive resection of NF-PNET. Regardless of the type of surgery, a minimally invasive approach could be safe and effective for well-selected NF-PNETs patients.
Methods : Severance Hospital’s prospective databases were searched for 110 patients who underwent curative resections for NF-PNETs between January 2003 and August 2018.
Results : The proportion of NF-PNET treatments accounted for by minimally invasive approaches (MIS) increased to over 75% after 2013. there was no significant difference in post-operative complications (p=0.654), including post-operative pancreatic fistula (p=0.890) and delayed gastric emptying (p=0.652), between MIS and open approach. No statistically significant difference was also noted in disease-free survival between the open group and the MIS group (median follow-up period of 28.1 months, p = 0.428). In addition, surgical approach (MIS vs Open) was not found to be independent prognostic factor in treating NF-PNET patients (Exp(β)=1.062, p-value=0.929).
Conclusions : There was no significant difference the short- and long-term outcomes of open resection and minimally invasive resection of NF-PNET. Regardless of the type of surgery, a minimally invasive approach could be safe and effective for well-selected NF-PNETs patients.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY