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Minimally invasive (laparoscopic and robot-assisted) versus open approach for central pancreatectomies: a single-center experience
DC Field | Value | Language |
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dc.contributor.author | 강창무 | - |
dc.contributor.author | 이우정 | - |
dc.contributor.author | 황호경 | - |
dc.date.accessioned | 2022-05-09T17:00:33Z | - |
dc.date.available | 2022-05-09T17:00:33Z | - |
dc.date.issued | 2022-02 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/188327 | - |
dc.description.abstract | Background: There continues to be an interest in minimally invasive approaches to pancreatic surgery. At our institution, there has been a progressive change from an open to minimally invasive surgery (MIS) (laparoscopic, robotic, or laparoscopic-robotic) approach for central pancreatectomies (CP). The aim of this study was to evaluate surgical outcomes with open CP (O-CP) versus minimally invasive CP (MI-CP). Methods: A retrospective medical review of patients who underwent CP between 1993 and 2018 at Yonsei University Health System, Seoul, Korea was performed. Short-term perioperative outcomes were compared between O-CP and MI-CP. Results: Thirty-one CPs (11 open, 20 MIS) were identified during the study period. No difference was observed in admission days between O-CP and MI-CP (21.2 vs. 16.7 days, p = 0.340), although operating time was significantly increased in the MI-CP group (296.8 vs. 374.8 min, p = 0.036). Blood loss was significantly less in MI-CP vs. O-CP (807.1 vs. 214.0 mls, p = 0.001), with no difference in post-operative new-onset diabetes (9% vs. 5%). The overall post-operative pancreatic fistula rate was 25.8%, and no significant difference between O-CP and MI-CP or complication rates (45% vs. 40%) was observed. Conclusion: Despite increased operative time, MI-CP is feasible and comparable to conventional O-CP with regard to surgical outcomes in well-selected patients. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* / adverse effects | - |
dc.subject.MESH | Minimally Invasive Surgical Procedures | - |
dc.subject.MESH | Pancreatectomy | - |
dc.subject.MESH | Pancreatic Neoplasms* / surgery | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures* / adverse effects | - |
dc.subject.MESH | Robotics* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Minimally invasive (laparoscopic and robot-assisted) versus open approach for central pancreatectomies: a single-center experience | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Frederick Huynh | - |
dc.contributor.googleauthor | Charles Jimenez Cruz | - |
dc.contributor.googleauthor | Ho Kyoung Hwang | - |
dc.contributor.googleauthor | Woo Jung Lee | - |
dc.contributor.googleauthor | Chang Moo Kang | - |
dc.identifier.doi | 10.1007/s00464-021-08409-x | - |
dc.contributor.localId | A00088 | - |
dc.contributor.localId | A02993 | - |
dc.contributor.localId | A04497 | - |
dc.relation.journalcode | J02703 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.pmid | 33661383 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s00464-021-08409-x | - |
dc.subject.keyword | Central pancreatectomy | - |
dc.subject.keyword | Minimally invasive surgery | - |
dc.subject.keyword | Robotic surgery | - |
dc.contributor.alternativeName | Kang, Chang Moo | - |
dc.contributor.affiliatedAuthor | 강창무 | - |
dc.contributor.affiliatedAuthor | 이우정 | - |
dc.contributor.affiliatedAuthor | 황호경 | - |
dc.citation.volume | 36 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 1326 | - |
dc.citation.endPage | 1331 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.36(2) : 1326-1331, 2022-02 | - |
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