TY - JOUR
T1 - Laparoscopic distal pancreatectomy in elderly patients
T2 - is it safe?
AU - Aprea, Giovanni
AU - de Rosa, Davide
AU - Milone, Marco
AU - Rocca, Aldo
AU - Bianco, Tommaso
AU - Massa, Guido
AU - Compagna, Rita
AU - Johnson, Louis Banka
AU - Sanguinetti, Alessandro
AU - Polistena, Andrea
AU - Avenia, Nicola
AU - Amato, Bruno
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Distal pancreasectomy
KW - Elderly
KW - Robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=84996564349&partnerID=8YFLogxK
U2 - 10.1007/s40520-016-0677-4
DO - 10.1007/s40520-016-0677-4
M3 - Article
C2 - 27878555
AN - SCOPUS:84996564349
SN - 1594-0667
VL - 29
SP - 41
EP - 45
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
IS - Suppl. 1
ER -