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A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma

Several studies have compared laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD) in patients with periampullary carcinoma; however, only a few studies have made such a comparison on patients with ampulla of Vater cancer (AVC). We compared the perioperative and oncologi...

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Autores principales: Yoo, Daegwang, Song, Ki Byung, Lee, Jong Woo, Hwang, Kyungyeon, Hong, Sarang, Shin, Dakyum, Hwang, Dae Wook, Lee, Jae Hoon, Lee, Woohyung, Kwon, Jaewoo, Park, Yejong, Jun, Eunsung, Kim, Song Cheol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408711/
https://www.ncbi.nlm.nih.gov/pubmed/32668683
http://dx.doi.org/10.3390/jcm9072214
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author Yoo, Daegwang
Song, Ki Byung
Lee, Jong Woo
Hwang, Kyungyeon
Hong, Sarang
Shin, Dakyum
Hwang, Dae Wook
Lee, Jae Hoon
Lee, Woohyung
Kwon, Jaewoo
Park, Yejong
Jun, Eunsung
Kim, Song Cheol
author_facet Yoo, Daegwang
Song, Ki Byung
Lee, Jong Woo
Hwang, Kyungyeon
Hong, Sarang
Shin, Dakyum
Hwang, Dae Wook
Lee, Jae Hoon
Lee, Woohyung
Kwon, Jaewoo
Park, Yejong
Jun, Eunsung
Kim, Song Cheol
author_sort Yoo, Daegwang
collection PubMed
description Several studies have compared laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD) in patients with periampullary carcinoma; however, only a few studies have made such a comparison on patients with ampulla of Vater cancer (AVC). We compared the perioperative and oncologic outcomes between LPD and OPD in patients with AVC using propensity-score-matched analysis. A total of 359 patients underwent PD due to AVC during the study period (76 LPD, 283 OPD). After propensity score matching, the LPD group showed significantly longer operation time than did the OPD group (400.2 vs. 344.6 min, p < 0.001). Nevertheless, the LPD group had fewer painkiller administrations (8.3 vs. 11.1, p < 0.049), fewer Grade II or more severe postoperative complications (15.9% vs. 34.8%, p = 0.012), and shorter postoperative hospital stays (13.7 vs. 17.3 days, p = 0.048), compared with the OPD group. There was no significant difference in recurrence-free outcomes and overall survival between the two groups (p = 0.754 and 0.768, respectively). Compared with OPD, LPD for AVC had comparative oncologic outcomes with less pain, less postoperative morbidity, and shorter hospital stays. LPD may serve as a promising alternative to OPD in patients with AVC.
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spelling pubmed-74087112020-08-13 A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma Yoo, Daegwang Song, Ki Byung Lee, Jong Woo Hwang, Kyungyeon Hong, Sarang Shin, Dakyum Hwang, Dae Wook Lee, Jae Hoon Lee, Woohyung Kwon, Jaewoo Park, Yejong Jun, Eunsung Kim, Song Cheol J Clin Med Article Several studies have compared laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD) in patients with periampullary carcinoma; however, only a few studies have made such a comparison on patients with ampulla of Vater cancer (AVC). We compared the perioperative and oncologic outcomes between LPD and OPD in patients with AVC using propensity-score-matched analysis. A total of 359 patients underwent PD due to AVC during the study period (76 LPD, 283 OPD). After propensity score matching, the LPD group showed significantly longer operation time than did the OPD group (400.2 vs. 344.6 min, p < 0.001). Nevertheless, the LPD group had fewer painkiller administrations (8.3 vs. 11.1, p < 0.049), fewer Grade II or more severe postoperative complications (15.9% vs. 34.8%, p = 0.012), and shorter postoperative hospital stays (13.7 vs. 17.3 days, p = 0.048), compared with the OPD group. There was no significant difference in recurrence-free outcomes and overall survival between the two groups (p = 0.754 and 0.768, respectively). Compared with OPD, LPD for AVC had comparative oncologic outcomes with less pain, less postoperative morbidity, and shorter hospital stays. LPD may serve as a promising alternative to OPD in patients with AVC. MDPI 2020-07-13 /pmc/articles/PMC7408711/ /pubmed/32668683 http://dx.doi.org/10.3390/jcm9072214 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yoo, Daegwang
Song, Ki Byung
Lee, Jong Woo
Hwang, Kyungyeon
Hong, Sarang
Shin, Dakyum
Hwang, Dae Wook
Lee, Jae Hoon
Lee, Woohyung
Kwon, Jaewoo
Park, Yejong
Jun, Eunsung
Kim, Song Cheol
A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title_full A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title_fullStr A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title_full_unstemmed A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title_short A Comparative Study of Laparoscopic versus Open Pancreaticoduodenectomy for Ampulla of Vater Carcinoma
title_sort comparative study of laparoscopic versus open pancreaticoduodenectomy for ampulla of vater carcinoma
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408711/
https://www.ncbi.nlm.nih.gov/pubmed/32668683
http://dx.doi.org/10.3390/jcm9072214
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