Table 3 Subgroup analysis of perioperative outcomes between LA LSPDP and CA LSPDP groups stratified by obesity.

From: Efficacy and safety of lateral approach laparoscopic spleen-preserving distal pancreatectomy: a multicenter retrospective cohort study

 

LA LSPDP (N = 26)

CA LSPDP (N = 29)

P-value

Conversion to open surgery, N (%)

0

0

 

Conversion to Warshaw’s technique, N (%)

5 (19.2)

9 (31.0)

0.316

Conversion to distal pancreatectomy, N (%)

3 (11.5)

10 (34.5)

0.046

Whole operation time, min

133.6 ± 63.38

166.8 ± 51.87

0.038

Estimated blood loss, cc

137.9 ± 179.92

388.6 ± 444.85

0.008

Transfusion, N (%)

0

3 (10.3)

0.238

CR-POPF

2 (7.7)

4 (13.8)

0.672

Days until drain removal

8 ± 5.15

12.4 ± 15.81

0.177

Postoperative complication, N (%)

   

 Atelectasis

13 (50)

7 (24.1)

0.047

 Pneumonia

0

1 (3.4)

1.000

 PPH

0

0

 

 DGE

0

0

 

 Wound infection

0

2 (6.9)

0.492

Clavien-Dindo classification, N (%)

  

0.819

 Minor

11 (42.3)

8 (27.6)

 

 Major

2 (7.7)

5 (17.2)

 

Reoperation

0

0

 

Re-admission, N(%)

1 (3.8)

3 (10.3)

0.613

Morbidity, N(%)

13 (50)

8 (28.6)

0.107

Mortality (< 90 days), N (%)

0

1 (3.6)

1.000

Length of hospital stay, day

7.8 ± 1.37

8 ± 2.41

0.66

  1. LA LSPDP lateral approach laparoscopic spleen-preserving distal pancreatectomy; CA LSPDP conventional approach to laparoscopic spleen-preserving distal pancreatectomy; WT Warshaw’s technique; CR-POPF clinically relevant postoperative pancreatic fistula; PPH Post- pancreatectomy haemorrhage; DGE delayed gastric emptying.