Analysis Of Clinical Efficacy Of Laparoscopic Distal Pancreatic Resection And Open Distal Pancreatic Resection

Objective:To compare the clinical efficacy of laparoscopic distal pancreatectomy(LDP)and open distal pancreatectomy(ODP).To investigate the advantages and disadvantages of LDP.Methods:The clinical data of 22 patients undergone LDP and 20 patients undergone ODP at the Department of Hepatopancreatobiliary Surgery of the Second Affiliated Hospital of Nanchang University from January 2014 to April 2018 were analyzed retrospectively.Results:Both groups of patients successfully completed the distal pancreatectomy.Intraoperative blood loss in LDP group were less than that in ODP group(155.63±39.26 mL vs.255.42±118.63 mL,P < 0.05).The postoperative fasting time(4.21±0.92 d vs.4.68±0.76 d),anal exhaust time(2.26±0.73 d vs.2.87±0.52 d)and hospital stays(9.27±3.68 d vs.12.31±4.73 d)in LDP group were shorter than that in ODP group(all P < 0.05).Surgery duration in LDP were longer than ODP(258.32±42.52 min vs.186.56±34.28 min,P<0.05).There were no statistically significant difference in the rates of spleen-preserving and incidence of postoperative complication between two groups(P>0.05).The pathological results of LDP group and ODP group showed that the specimen margins were negative.Conclusion:About selected space-occupying lesions at distal pancreas,LDP is safe and effective.Its surgical efficacy is equal to ODP.The short-term efficacy of LDP is significantly better than that of ODP,so it deserves to be promoted in clinical practice.