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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7408711 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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