Single-Port Laparoscopic Distal Pancreatectomy: Initial Experience
- Authors
- Han, Hyung Joon; Yoon, Sam-Youl; Song, Tae-Jin; Choi, Sae Byeol; Kim, Wan-Bae; Choi, Sang-Yong; Park, Seong-Heum
- Issue Date
- 1-12월-2014
- Publisher
- MARY ANN LIEBERT, INC
- Citation
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.24, no.12, pp.858 - 863
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
- Volume
- 24
- Number
- 12
- Start Page
- 858
- End Page
- 863
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/96540
- DOI
- 10.1089/lap.2014.0151
- ISSN
- 1092-6429
- Abstract
- Introduction: Laparoscopic distal pancreatectomy has become the standard treatment of choice for pancreatic tail cystic and solid tumors when technically feasible. Technological advances have led to the development of single-port laparoscopic surgery, a safe alternative procedure. We present our experiences with single-port laparoscopic distal pancreatectomy. Materials and Methods: We retrospectively reviewed clinical records and compared clinical outcomes in 40 patients diagnosed with a pancreatic tail mass between 2007 and 2013 who received either conventional laparoscopic (n=28) or single-port laparoscopic distal pancreatectomy (n=12). Results: The mean surgery time in the single-port group (279.8 +/- 53.0 minutes) was significantly longer than in the conventional group (186.9 +/- 86.6 minutes) (P=.001). The mean duration of postoperative hospital stay in the single-port group (12.2 +/- 5.4 days) was also significantly longer than in the conventional group (8.3 +/- 4.7 days) (P=.028). The spleen was preserved more in the conventional group (60.7%) than in the single-port group (33.3%), but the difference was not significant (P=.112). There were no significant differences in intraoperative blood loss, tumor size, conversion rate, or postoperative complications between the two groups. Conclusions: Blood loss and postoperative complications of single-port laparoscopic distal pancreatectomy are similar to those of conventional laparoscopic distal pancreatectomy. Single-port laparoscopic distal pancreatectomy can be performed safely and effectively in select patients with pancreas tail neoplasms, but is associated with a longer surgery time and postoperative hospital stay.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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