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Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients.

Publication ,  Journal Article
Adam, MA; Choudhury, K; Goffredo, P; Reed, SD; Blazer, D; Roman, SA; Sosa, JA
Published in: World J Surg
October 2015

BACKGROUND: Data from high-volume institutions suggest that minimally invasive distal pancreatectomy (MIDP) provides favorable perioperative outcomes and adequate oncologic resection for pancreatic cancer; however, these outcomes may not be generalizable. This study examines patterns of use and short-term outcomes from MIDP (laparoscopic or robotic) versus open distal pancreatectomy (ODP) for pancreatic adenocarcinoma in the United States. METHODS: Adult patients undergoing distal pancreatectomy were identified from the National Cancer Database, 2010-2011. Multivariable modeling was applied to compare short-term outcomes from MIDP versus ODP for pancreatic adenocarcinoma. RESULTS: 1733 patients met inclusion criteria: 535 (31 %) had MIDP and 1198 (69 %) ODP. Use of MIDP increased 43 % between 2010 and 2011; the conversion rate from MIDP to ODP was 23 %. MIDP cases were performed at 215 hospitals, with 85 % of hospitals performing <10 cases overall. After adjustment, pancreatic adenocarcinoma patients undergoing MIDP versus ODP had a similar likelihood of complete resection (OR 1.48, p = 0.10), number of lymph nodes removed (RR 1.01, p = 0.91), and 30-day readmission rate (OR 1.02, p = 0.96); however, length of stay was shorter (RR 0.84, p < 0.01). CONCLUSIONS: Use of MIDP for cancer is increasing, with most centers performing a low volume of these procedures. Use of MIDP for body and tail pancreatic adenocarcinoma appears to have short-term outcomes that are similar to those of open procedures with the benefit of a shorter hospital stay. Larger studies with longer follow-up are needed.

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Published In

World J Surg

DOI

EISSN

1432-2323

Publication Date

October 2015

Volume

39

Issue

10

Start / End Page

2564 / 2572

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Time Factors
  • Surgery
  • Robotic Surgical Procedures
  • Patient Readmission
  • Pancreatic Neoplasms
  • Pancreatectomy
  • Middle Aged
  • Male
 

Citation

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Chicago
ICMJE
MLA
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Adam, M. A., Choudhury, K., Goffredo, P., Reed, S. D., Blazer, D., Roman, S. A., & Sosa, J. A. (2015). Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients. World J Surg, 39(10), 2564–2572. https://doi.org/10.1007/s00268-015-3138-x
Adam, Mohamed Abdelgadir, Kingshuk Choudhury, Paolo Goffredo, Shelby D. Reed, Dan Blazer, Sanziana A. Roman, and Julie A. Sosa. “Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients.World J Surg 39, no. 10 (October 2015): 2564–72. https://doi.org/10.1007/s00268-015-3138-x.
Adam MA, Choudhury K, Goffredo P, Reed SD, Blazer D, Roman SA, et al. Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients. World J Surg. 2015 Oct;39(10):2564–72.
Adam, Mohamed Abdelgadir, et al. “Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients.World J Surg, vol. 39, no. 10, Oct. 2015, pp. 2564–72. Pubmed, doi:10.1007/s00268-015-3138-x.
Adam MA, Choudhury K, Goffredo P, Reed SD, Blazer D, Roman SA, Sosa JA. Minimally Invasive Distal Pancreatectomy for Cancer: Short-Term Oncologic Outcomes in 1,733 Patients. World J Surg. 2015 Oct;39(10):2564–2572.
Journal cover image

Published In

World J Surg

DOI

EISSN

1432-2323

Publication Date

October 2015

Volume

39

Issue

10

Start / End Page

2564 / 2572

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Time Factors
  • Surgery
  • Robotic Surgical Procedures
  • Patient Readmission
  • Pancreatic Neoplasms
  • Pancreatectomy
  • Middle Aged
  • Male