Distal pancreatectomy: comparison of open and laparoscopic techniques
Abstract
Introduction: Distal pancreatectomy [DP] is the curative treatment for tumours of the body and tail of the pancreas. It may be with en-bloc splenectomy or spleen preserving. Latter is technically more challenging. The procedure may be performed by open surgery or by laparoscopy. We evaluated the outcomes in a cohort of patients comparing open surgery versus laparoscopy for DP.
Objective: Compare open surgery vs laparoscopy for DP.
Method: A retrospective analysis of patients who underwent DP at a single surgical unit was done. The study period was from 2015 January to 2022 January.
Results: Thirteen patients underwent the procedure, eight by laparoscopy and four by open surgery while one had a conversion to open.
Conclusions: Distal pancreatectomy is feasible with laparoscopy and reduces postoperative morbidity. The blood loss is less and has cosmetic advantages, especially in young patients.
© 2022 D. C. Dhanuksha, S. De Silva, A. D. Dharmapala, B. K. Dassanayake, J. J. K. H. Udupihille, F. Sitheeque, S .U. B. Tennakoon, K. B. Galketiya, published by The College of Surgeons of Sri Lanka
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