Detailed Abstract
[BP Oral Presentation 1]
[BP OP 1-1] Long-term and short-term outcomes of laparoscopic versus open pancreatectomy for intraductal papillary mucinous neoplasm
Junyub KIM1, Yoo-Seok YOON*1, Ho-Seong HAN1, Jai Young CHO1, YoungRok CHOI1, Jun Suh LEE1, Boram LEE1, In Woong HAN2, Jin Seok HEO2, Sang Hyun SHIN2, Moonhwan KIM1
1Department of Surgery, Seoul National University Bundang Hospital, Korea
2Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea
Introduction : Laparoscopic pancreatectomy is being performed widely for intraductal papillary mucinous neoplasm (IPMN). However, there have been few reports on long-term and short-term outcomes between laparoscopic and open pancreatectomy for patients with IPMN. The aim of this study is to compare the postoperative and survival outcomes of open and laparoscopic surgery for IPMN.
Methods : This retrospective study includes 496 patients who underwent laparoscopic (n=132) or open pancreatectomy (n=364) between May 2000 and April 2019 in two centers. The clinicopathologic characteristics, perioperative outcomes and survival outcomes were compared between both groups.
Results : Pancreaticoduodenectomy was more frequently performed in the open group (51.9%). The laparoscopic group had a shorter postoperative hospital stay compared to the open group (10.98days vs. 13.91days, p<0.05), while major postoperative complications (Clavien-Dindo grade more than IIIa) were more frequent in the open group (21.2% vs. 13.7%, p=0.048). There was no difference in survival outcomes. In subgroup analysis (location of tumors), open group in head/diffuse subgroup had shorter operation time (416.32 minutes vs. 299.18 minutes, p<0.05). In body/tail subgroup, POPFs (Grade 2,3) were more frequent in the laparoscopic group(13.7% vs. 5.1%, p=0.030). In subgroup analysis (grade), there were no significant differences in survival outcomes.
Conclusions : This study shows that laparoscopy is comparable to open surgery in terms of postoperative safety with similar oncological outcomes for patients of IPMN. Therefore, in high volume centers with adequate experience, laparoscopy can be considered an alternative to open surgery.
Methods : This retrospective study includes 496 patients who underwent laparoscopic (n=132) or open pancreatectomy (n=364) between May 2000 and April 2019 in two centers. The clinicopathologic characteristics, perioperative outcomes and survival outcomes were compared between both groups.
Results : Pancreaticoduodenectomy was more frequently performed in the open group (51.9%). The laparoscopic group had a shorter postoperative hospital stay compared to the open group (10.98days vs. 13.91days, p<0.05), while major postoperative complications (Clavien-Dindo grade more than IIIa) were more frequent in the open group (21.2% vs. 13.7%, p=0.048). There was no difference in survival outcomes. In subgroup analysis (location of tumors), open group in head/diffuse subgroup had shorter operation time (416.32 minutes vs. 299.18 minutes, p<0.05). In body/tail subgroup, POPFs (Grade 2,3) were more frequent in the laparoscopic group(13.7% vs. 5.1%, p=0.030). In subgroup analysis (grade), there were no significant differences in survival outcomes.
Conclusions : This study shows that laparoscopy is comparable to open surgery in terms of postoperative safety with similar oncological outcomes for patients of IPMN. Therefore, in high volume centers with adequate experience, laparoscopy can be considered an alternative to open surgery.
SESSION
BP Oral Presentation 1
Room B 7/27/2020 11:40 AM - 11:47 AM