Dataset Information

401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.

ABSTRACT:

Background

This study aimed to discuss and report the trend, outcomes, and learning curve effect after minimally invasive distal pancreatectomy (MIDP) at two high-volume centres.

Methods

Patients undergoing MIDP between January 1999 and December 2018 were retrospectively identified from prospectively maintained electronic databases. The entire cohort was divided into two groups constituting the "early" and "recent" phases. The learning curve effect was analyzed for laparoscopic (LDP) and robotic distal pancreatectomy (RDP). The follow-up was at least 2 years.

Results

The study population included 401 consecutive patients (LDP n = 300, RDP n = 101). Twelve surgeons performed MIDP during the study period. Although patients were more carefully selected in the early phase, in terms of median age (49 vs. 55 years, p = 0.026), ASA class higher than 2 (3% vs. 9%, p = 0.018), previous abdominal surgery (10% vs. 34%, p < 0.001), and pancreatic adenocarcinoma (PDAC) (7% vs. 15%, p = 0.017), the recent phase had similar perioperative outcomes. The increase of experience in LDP was inversely associated with the operative time (240 vs 210 min, p < 0.001), morbidity rate (56.5% vs. 40.1%, p = 0.005), intra-abdominal collection (28.3% vs. 17.3%, p = 0.023), and length of stay (8 vs. 7 days, p = 0.009). Median survival in the PDAC subgroup was 53 months.

Conclusion

In the setting of high-volume centres, the surgical training of MIDP is associated with acceptable rates of morbidity. The learning curve can be largely achieved by several team members, improving outcomes over time. Whenever possible resection of PDAC guarantees adequate oncological results and survival.

SUBMITTER: Esposito A

PROVIDER: S-EPMC9402493 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.

Esposito Alessandro A Ramera Marco M Casetti Luca L De Pastena Matteo M Fontana Martina M Frigerio Isabella I Giardino Alessandro A Girelli Roberto R Landoni Luca L Malleo Giuseppe G Marchegiani Giovanni G Paiella Salvatore S Pea Antonio A Regi Paolo P Scopelliti Filippo F Tuveri Massimiliano M Bassi Claudio C Salvia Roberto R Butturini Giovanni G

Surgical endoscopy 20220131 9

<h4>Background</h4>This study aimed to discuss and report the trend, outcomes, and learning curve effect after minimally invasive distal pancreatectomy (MIDP) at two high-volume centres.<h4>Methods</h4>Patients undergoing MIDP between January 1999 and December 2018 were retrospectively identified from prospectively maintained electronic databases. The entire cohort was divided into two groups constituting the "early" and "recent" phases. The learning curve effect was analyzed for laparoscopic (L ...[more]

PMID: 35102430

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Dataset Information

401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.

Background

Methods

Results

Conclusion

Publications

401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.

Similar Datasets

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