| Objective:To compare the clinical results of laparoscopic distal pancreatcctomy(LDP) and open distalpancreatectomy(ODP), confirm the safety and feasibility of LDP and the potential advantages of LDP.Methods:A total of35patients, who underwent distal pancreatectomy in the Department of General Surgery in Sir Run Run Shaw Hospital between June2012and January2014. These patients were divided into two groups:LDP(n=17),ODP(n=18).Data of patients of two groups were compared, which included:1.general information(gender, age);2.operation information(intraoperative blood loss, operation time, spleen preserving rate);3.post-operation information(anal exsuffiation time, fasting time, stress indexes, complication, postoperative hospital stay time, hospitalization cost).Result:Two group of patients’ general information(gender, age) didn’t have significance difference(P>0.05). the mean operation time of LDP and ODP were182.65±61.37min、210.56±56.49min (p>0.05); the mean intraoperative blood loss were151.76±125.58ml、361.11±261.53ml(p<0.05); the spleen preserving rate are11.76%.11.11%(p>0.05);the anal exsuffiation time were2.71±0.99d、3.17±1.25d (p>0.05),the fasting time were3.00±1.27d、4.84±1.82d (p<0.05);the postoperative hospital stay time were9.52±3.69d、19.39±18.29d (p<0.05),the hospitalization cost were4.60±0.99ten thousand yuan.6.30±0.33ten thousand yuan (p<0.05).In LDP group, only two patients suffered complication(11.76%), one is pancreas fistula, another is bleeding. In ODP group, eight patients suffered complication after operation (44.44%), including3pancreas fistulas(1need DSA because of bleeding28days after surgery),1lung infection,1infection of incisional wound,3intestinal obgruction, and two cases need to perform operation again.Conclusions:Laparoscopic distal Pancreatectomy is safe and feasible. Compared to ODP, LDP has the advantages of lesser intraoperative blood loss, earlier fasting time, shorter postoperative hospital stay time and lesser complication... |
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