A comparison of minimally invasive vs open distal pancreatectomy for resectable pancreatic ductal adenocarcinoma: Propensity score matching analysis

Background Owing to concerns regarding adequate oncological outcomes and perioperative complications, minimally invasive distal pancreatectomy (MIDP) for pancreatic ductal adenocarcinoma (PDAC) has limited generalizability. The aim of this study was to assess the perioperative and oncologic outcomes...

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Bibliographic Details
Published in:Journal of hepato-biliary-pancreatic sciences 2021-11, Vol.28 (11), p.967-982
Main Authors: Kwon, Jaewoo, Park, Seo Young, Park, Yejong, Jun, Eunsung, Lee, Woohyung, Song, Ki Byung, Lee, Jae Hoon, Hwang, Dae Wook, Kim, Song Cheol
Format: Article
Language:English
Subjects:
Adenocarcinoma - surgery
Cancer
distal pancreatectomy
Humans
Laparoscopy
Lymphatic system
minimal invasive surgery
Pancreatectomy
Pancreatectomy - methods
Pancreatic cancer
Pancreatic Neoplasms - surgery
Postoperative Complications - epidemiology
Propensity Score
Retrospective Studies
Robotic Surgical Procedures
Treatment Outcome
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Summary:Background Owing to concerns regarding adequate oncological outcomes and perioperative complications, minimally invasive distal pancreatectomy (MIDP) for pancreatic ductal adenocarcinoma (PDAC) has limited generalizability. The aim of this study was to assess the perioperative and oncologic outcomes of MIDP compared with open distal pancreatectomy (ODP) for resectable PDAC after propensity score matching (PSM). Methods The patients who underwent MIDP and ODP for PDAC between January 2010 and December 2017 were retrospectively reviewed. Demographics, perioperative outcomes, pathological outcomes, and overall and disease‐free survival data were collected to compare MIDP and ODP. After PSM, perioperative and oncologic outcomes were analyzed. Results A total of 156 MIDP patients were compared with 156 ODP patients for resectable PDAC after PSM. Tumor size, TNM stage, differentiation, harvested lymph nodes, and positive lymph nodes were not different except for R1 resection and lymphovascular invasion between the MIDP and ODP groups. Operation times, overall complications, POPF, and adjuvant treatment were also not different between the two groups. The MIDP group had shorter hospital stays (10.0 vs 13.4 days, P 
ISSN:1868-6974
1868-6982
DOI:10.1002/jhbp.853