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Laparoscopic distal pancreatectomy in elderly patients: is it safe?

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Abstract

Background

Laparoscopic distal pancreatectomy (LDP) appears to be safe and effective as open distal pancreatectomy (ODP) for benign or borderline malignant lesion. However, studies comparing LDP with ODP in elderly patients are limited. The purpose of this study is to compare the clinical outcomes of these two several approaches in elderly patients.

Methods

A retrospective analysis was carried out by comparing laparoscopic (n = 7) and open (n = 15) distal pancreatectomy in elderly patients performed at the University of Naples “Federico II” and University of Perugia between January 2012 and December 2015. Demographic data, operative and postoperative outcomes were analyzed.

Results

Demographic and tumor characteristics of laparoscopic and ODP were similar. There were also no significant differences in operating room time. Patients undergoing LDP had lower blood loss, first flatus time, diet start time and postoperative hospital stay. There were no significant differences in complication rates or 90-day mortality.

Discussion

LDP is safe and feasible as ODP in selected elderly patients.

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Authors and Affiliations

  1. Division of General Surgery, Department of Clinical Medicine and Surgery, School of Medicine, University of Naples Federico II, via S. Pansini, 5, 80131, Naples, Italy

    Giovanni Aprea, Davide De Rosa, Aldo Rocca, Tommaso Bianco, Guido Massa, Rita Compagna & Bruno Amato

  2. Division of General Surgery, Department of Surgical Sciences and Nephrology, School of Medicine, University of Naples Federico II, Naples, Italy

    Marco Milone

  3. Division of Colorectal Surgery, Department of Clinical Sciences, Pelvic Floor Centre, Malmö University Hospital, Lund University, Lund, Sweden

    Louis Banka Johnson

  4. General Surgery and Surgical Specialties Unit, Medical School, S. Maria University Hospital, University of Perugia, Terni, Italy

    Alessandro Sanguinetti, Andrea Polistena & Nicola Avenia

Authors
  1. Giovanni Aprea
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  2. Davide De Rosa
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  3. Marco Milone
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  4. Aldo Rocca
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  5. Tommaso Bianco
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  6. Guido Massa
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  7. Rita Compagna
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  8. Louis Banka Johnson
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  9. Alessandro Sanguinetti
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  10. Andrea Polistena
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  11. Nicola Avenia
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  12. Bruno Amato
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Corresponding author

Correspondence to Aldo Rocca.

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Conflict of interest

All authors listed have contributed sufficiently to the project to be included as authors, and to the best of our knowledge, no conflict of interest, financial or other exists.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

For the radiological and surgical procedure, the processing of personal data was obtained from each individual study participant. In accordance with Italian Drug Agency (AIFA) guidelines, observational studies using retrospective data or materials do not require formal approval by the local ethics committee.

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Aprea, G., De Rosa, D., Milone, M. et al. Laparoscopic distal pancreatectomy in elderly patients: is it safe?. Aging Clin Exp Res 29 (Suppl 1), 41–45 (2017). https://doi.org/10.1007/s40520-016-0677-4

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  • DOI: https://doi.org/10.1007/s40520-016-0677-4

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