Comparative outcomes of extended distal pancreatectomy and distal pancreatectomy
Issued Date
2022-01-01
Resource Type
ISSN
10159584
eISSN
02193108
Scopus ID
2-s2.0-85144975503
Journal Title
Asian Journal of Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Asian Journal of Surgery (2022)
Suggested Citation
Tangtawee P., Mingphruedhi S., Rungsakulkij N., Suragul W., Vassanasiri W., Muangkaew P. Comparative outcomes of extended distal pancreatectomy and distal pancreatectomy. Asian Journal of Surgery (2022). doi:10.1016/j.asjsur.2022.12.044 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86224
Title
Comparative outcomes of extended distal pancreatectomy and distal pancreatectomy
Author's Affiliation
Other Contributor(s)
Abstract
Purpose: Patients with locally advanced pancreatic body/tail tumors, gastric cancer, or colon cancer often have contiguous organ involvement requiring extensive pancreatic resection. This study was performed to compare surgical complications and the incidence of clinically relevant postoperative pancreatic fistula (CR-POPF) between distal pancreatectomy (DP) with extended organ resection and standard DP. Methods: In total, 128 patients who underwent DP from January 2012 to January 2021 were retrospectively reviewed. Extended DP was defined according to the International Study Group of Pancreatic Surgery definition. Results: Of the 128 patients, 62 (48.4%) underwent extended DP and 66 (51.6%) underwent DP. Blood loss was greater (p < 0.001), the incidence of major complications was higher (p = 0.032), and the hospital stay was longer (p = 0.002) in the extended DP group than in the DP group. There were no differences in the incidence of CR-POPF, the readmission rate, or the need for postoperative intervention drainage. Univariate and multivariate analyses showed that extended DP was not a risk factor for CR-POPF or major complications. Conclusion: Extended DP can be performed with comparable CR-POPF occurrence and mortality but increased morbidity when compared with standard DP.