Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 152] Postoperative Outcomes of Lateral Approach for Pancreatic Tail Tumors in Laparoscopic Distal Pancreatectomy Compared to the Conventional Medial Approach: a Propensity Score Matching Cohort Study
Sung Eun PARK 1, Tae Yoon LEE 2, Chang Ho SEO 3, Yun Kyoung WOO 4, Tae Ho HO 1
1 Hepato-biliary And Pancreas Surgery, The Catholic University of Korea Seoul St. Mary's Hospital, REPUBLIC OF KOREA, 2 Hepato-biliary And Pancreas Surgery, Incheon St. Mary's hospital, The Catholic University of Korea, REPUBLIC OF KOREA, 3 Hepato-biliary And Pancreas Surgery, The Catholic University of Korea Bucheon St. Mary's Hospital, REPUBLIC OF KOREA, 4 Hepato-biliary And Pancreas Surgery, The Catholic University of Korea St. Vincent's Hospital, REPUBLIC OF KOREA
Background : Laparoscopic spleen-preserving distal pancreatectomy (SPDP) is widely utilized for pancreatic tail tumors. The conventional approach divides the pancreas in a medial-to-lateral direction but risks limited visibility and bleeding. A novel lateral approach mobilizing the pancreas lateral-to-medial has recently emerged as an alternative technique, but comparisons to the conventional approach are lacking.
Methods : We performed a multicenter, retrospective matched cohort study of patients undergoing laparoscopic distal pancreatectomy for pancreatic tail tumors from 2012-2023. Patients were categorized into lateral approach laparoscopic SPDP (LA LSPDP) and conventional approach laparoscopic SPDP (CA LSPDP) groups. A propensity score matching method minimized bias between cohorts. Operative duration, blood loss, and morbidity were compared.
Results : After matching, 56 patients were included in both the LA LSPD and CA LSPDP groups. The LA LSPD had reduced duration (127.1 vs 161.1 minutes; p=0.002) and blood loss (106.2 vs 291.4 mL; p=0.001) compared to the CA LSPDP, with no difference in postoperative complications (35.7% vs 27.3%; p=0.339).
Conclusions : This matched cohort study demonstrates LA LSPD effectively reduces operative duration and blood loss compared to CA LSPDP, while maintaining comparable morbidity rates. Further data are warranted to confirm advantages of this novel technique.
Methods : We performed a multicenter, retrospective matched cohort study of patients undergoing laparoscopic distal pancreatectomy for pancreatic tail tumors from 2012-2023. Patients were categorized into lateral approach laparoscopic SPDP (LA LSPDP) and conventional approach laparoscopic SPDP (CA LSPDP) groups. A propensity score matching method minimized bias between cohorts. Operative duration, blood loss, and morbidity were compared.
Results : After matching, 56 patients were included in both the LA LSPD and CA LSPDP groups. The LA LSPD had reduced duration (127.1 vs 161.1 minutes; p=0.002) and blood loss (106.2 vs 291.4 mL; p=0.001) compared to the CA LSPDP, with no difference in postoperative complications (35.7% vs 27.3%; p=0.339).
Conclusions : This matched cohort study demonstrates LA LSPD effectively reduces operative duration and blood loss compared to CA LSPDP, while maintaining comparable morbidity rates. Further data are warranted to confirm advantages of this novel technique.
SESSION
E-poster
E-Session 03/21 ALL DAY