Laparoscopic distal pancreatectomy in elderly patients: is it safe?

Giovanni Aprea, Davide de Rosa, Marco Milone, Aldo Rocca, Tommaso Bianco, Guido Massa, Rita Compagna, Louis Banka Johnson, Alessandro Sanguinetti, Andrea Polistena, Nicola Avenia, Bruno Amato

Research output: Contribution to journalArticlepeer-review

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 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.

Original languageEnglish
Pages (from-to)41-45
Number of pages5
JournalAging clinical and experimental research
Volume29
Issue numberSuppl. 1
Early online date2016 Nov 22
DOIs
Publication statusPublished - 2017

Subject classification (UKÄ)

  • Surgery
  • Geriatrics

Free keywords

  • Distal pancreasectomy
  • Elderly
  • Robotic surgery

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