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Laparoscopic distal pancreatectomy in elderly patients : is it safe?

Aprea, Giovanni; de Rosa, Davide; Milone, Marco; Rocca, Aldo; Bianco, Tommaso; Massa, Guido; Compagna, Rita; Johnson, Louis Banka LU ; Sanguinetti, Alessandro and Polistena, Andrea LU , et al. (2017) In Aging clinical and experimental research 29(Suppl. 1). p.41-45
Abstract

Background: Laparoscopic distal pancreatectomy (LDP) appears to be safe and effective as open distal pancreatectomy (ODP) for benign or borderline malignant lesion. However, studies comparing LDP with ODP in elderly patients are limited. The purpose of this study is to compare the clinical outcomes of these two several approaches in elderly patients. Methods: A retrospective analysis was carried out by comparing laparoscopic (n = 7) and open (n = 15) distal pancreatectomy in elderly patients performed at the University of Naples “Federico II” and University of Perugia between January 2012 and December 2015. Demographic data, operative and postoperative outcomes were analyzed. Results: Demographic and tumor characteristics of... (More)

Background: Laparoscopic distal pancreatectomy (LDP) appears to be safe and effective as open distal pancreatectomy (ODP) for benign or borderline malignant lesion. However, studies comparing LDP with ODP in elderly patients are limited. The purpose of this study is to compare the clinical outcomes of these two several approaches in elderly patients. Methods: A retrospective analysis was carried out by comparing laparoscopic (n = 7) and open (n = 15) distal pancreatectomy in elderly patients performed at the University of Naples “Federico II” and University of Perugia between January 2012 and December 2015. Demographic data, operative and postoperative outcomes were analyzed. Results: Demographic and tumor characteristics of laparoscopic and ODP were similar. There were also no significant differences in operating room time. Patients undergoing LDP had lower blood loss, first flatus time, diet start time and postoperative hospital stay. There were no significant differences in complication rates or 90-day mortality. Discussion: LDP is safe and feasible as ODP in selected elderly patients.

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Contribution to journal
publication status
published
subject
keywords
Distal pancreasectomy, Elderly, Robotic surgery
in
Aging clinical and experimental research
volume
29
issue
Suppl. 1
pages
5 pages
publisher
Kurtis
external identifiers
  • scopus:84996564349
  • wos:000396128300007
ISSN
1594-0667
DOI
10.1007/s40520-016-0677-4
language
English
LU publication?
yes
id
5b7d00be-45aa-4d16-b57a-9735e41e6100
date added to LUP
2016-12-12 08:09:12
date last changed
2018-01-07 11:40:28
@article{5b7d00be-45aa-4d16-b57a-9735e41e6100,
  abstract     = {<p>Background: Laparoscopic distal pancreatectomy (LDP) appears to be safe and effective as open distal pancreatectomy (ODP) for benign or borderline malignant lesion. However, studies comparing LDP with ODP in elderly patients are limited. The purpose of this study is to compare the clinical outcomes of these two several approaches in elderly patients. Methods: A retrospective analysis was carried out by comparing laparoscopic (n = 7) and open (n = 15) distal pancreatectomy in elderly patients performed at the University of Naples “Federico II” and University of Perugia between January 2012 and December 2015. Demographic data, operative and postoperative outcomes were analyzed. Results: Demographic and tumor characteristics of laparoscopic and ODP were similar. There were also no significant differences in operating room time. Patients undergoing LDP had lower blood loss, first flatus time, diet start time and postoperative hospital stay. There were no significant differences in complication rates or 90-day mortality. Discussion: LDP is safe and feasible as ODP in selected elderly patients.</p>},
  author       = {Aprea, Giovanni and de Rosa, Davide and Milone, Marco and Rocca, Aldo and Bianco, Tommaso and Massa, Guido and Compagna, Rita and Johnson, Louis Banka and Sanguinetti, Alessandro and Polistena, Andrea and Avenia, Nicola and Amato, Bruno},
  issn         = {1594-0667},
  keyword      = {Distal pancreasectomy,Elderly,Robotic surgery},
  language     = {eng},
  number       = {Suppl. 1},
  pages        = {41--45},
  publisher    = {Kurtis},
  series       = {Aging clinical and experimental research},
  title        = {Laparoscopic distal pancreatectomy in elderly patients : is it safe?},
  url          = {http://dx.doi.org/10.1007/s40520-016-0677-4},
  volume       = {29},
  year         = {2017},
}