Distal Pancreatectomy - OWN Experience

Jabłońska, Beata; Braszczok, Łukasz; Lekstan, Andrzej; Bednarek, Paweł; Bratek, Agnieszka; Bocheńska, Anna; Lampe, Paweł

doi:10.2478/v10035-012-0050-z

Cited by 4 publications

(3 citation statements)

References 31 publications

(10 reference statements)

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“…Although an open procedure was commonly used for appendectomy until 2011, since then some surgeons have been taking a laparoscopic approach. Likewise, laparoscopic sigmoidectomy is a relatively new procedure in Poland [ 10 , 11 ], with operations of this type only being performed since 2013, but only in selected patients. To simplify the following analysis, the following exchange rate was adopted: € 1 = 4 PLN.…”

Section: Methodsmentioning

confidence: 99%

Comparison of treatment costs of laparoscopic and open surgery.

Śmigielski

Piskorz²,

Koptas

2015

Videosurgery and Other Miniinvasive Techniques

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IntroductionLaparoscopy has been a standard procedure in most medical centres providing surgical services for many years. Both the range and number of laparoscopic procedures performed are constantly increasing. Over the last decade, laparoscopic procedures have been successfully applied both in emergency and oncological surgery. However, treatment costs have become a more important factor in choosing between open or laparoscopic procedures.AimTo present the total real costs of open and laparoscopic cholecystectomy, appendectomy and sigmoidectomy.Material and methodsBetween 1 May 2010 and 30 March 2015 in the Department of Thoracic Surgery, General and Oncological Surgery, Medical University of Lodz, and in the Department of General Surgery of the Saint John of God Hospital, Lodz, doctors performed 1404 cholecystectomies, 392 appendectomies and 88 sigmoidectomies. A total of 97% of the cholecystectomy procedures were laparoscopic and 3% were open. Similarly, 22% of total appendectomies were laparoscopic and 78% were open, while 9% of sigmoidectomies were laparoscopic and 91% open.ResultsThe requirement for single-use equipment in laparoscopic procedures increases the expense. However, after adding up all other costs, surprisingly, differences between the costs of laparoscopic and open procedures ranged from 451 PLN/€ 114 for laparoscopic operations to 611 PLN/€ 153 for open operations.ConclusionsLaparoscopic cholecystectomy, considered the standard surgery for treating gallbladder diseases, is cheaper than open cholecystectomy. Laparoscopic appendectomy and sigmoidectomy are safe methods of minimally invasive surgery, slightly more expensive than open operations. Of all the analyzed procedures, one-day laparoscopic cholecystectomy is the most profitable. The costs of both laparoscopic and open sigmoidectomy are greatly underestimated in Poland.

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Section: Methodsmentioning

confidence: 99%

Comparison of treatment costs of laparoscopic and open surgery.

Śmigielski

Piskorz²,

Koptas

2015

Videosurgery and Other Miniinvasive Techniques

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“…Distal pancreatectomy is a serious surgical procedure that is associated with a low mortality rate (< 5%) but a high percentage of morbidity, with postoperative complications ranging from 22.7% to 57% in high-volume pancreatic surgical centres [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The influence of nutritional status on the incidence of postoperative complications in patients following distal pancreatectomy

Jabłońska¹,

Lampe²,

Mrowiec³

2020

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Introduction: Malnutrition is a common problem in hospitalised patients. The immunological, inflammatory, and nutritional status of patients significantly influences the postoperative outcome. Aim: To assess and analyse the influence of the nutritional status on postoperative complications in patients following distal pancreatectomy. Material and methods: The analysis included 50 patients operated in a large centre of gastrointestinal surgery. The clinicopathological parameters were analysed, and the nutritional status was assessed. The prognostic nutritional index (PNI) was calculated as 10 × serum albumin (g/dl) + 0.005 × total lymphocyte count (per mm 3). The immunological parameters, neutrophil/ lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and lymphocyte/monocyte ratio (LMR) were calculated. Patients were divided into two groups according to the presence of early postoperative complications: those without postoperative complications and those with postoperative complications. Results: Early postoperative complications were observed in 15 (30.0%) patients undergoing distal pancreatectomy. Postoperative pancreatic fistula (POPF) was the most frequent complication noted in 11 (22%) patients. Significantly higher Nutritional Risk Screening (NRS) 2002 (p = 0.005) and lower PNI (median value: 56 vs. 41, p = 0.0003) were noted in patients with postoperative complications. In laboratory results, the significantly lower total lymphocyte count (median value: 2.4 vs. 1.4 per mm 3 , p = 0.01) and serum level of albumin (median value: 4.7 vs. 3.3 g/dl, p = 0.0003) were noted in the complications group. Conclusions: Nutritional status significantly influences the incidence of postoperative complications in patients following distal pancreatectomy. Assessment of nutritional status using PNI calculation should be the standard management of patients before surgical treatment.

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“…DP is the resection of the pancreatic tail and/or body with or with no concomitant splenectomy. Indications for DP are as follows: benign or malignant tumors involving the pancreatic body or tail (located to the left side of the superior mesenteric vein), chronic pancreatitis within the pancreatic body or tail, a pseudocyst involving the pancreatic tail, trauma of the distal pancreas, ductal disruption or stricture +/− pancreatic fistula in pancreatic body or tail [6]. DP is performed less frequently compared to PD because of the lower incidence of pancreatic lesions within the left pancreas and the later clinical manifestation of diseases located within this part of the pancreas [7].…”

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confidence: 99%

Pancreatectomy and Pancreatic Surgery

Jabłońska

Mrowiec

2023

Life

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Pancreatectomy, including pancreaticoduodenectomy (PD), as well as central pancreatectomy (CP), distal pancreatectomy (DP) and total/subtotal pancreatectomy, is a major, complex and difficult surgical procedure performed for various benign and malignant pancreatic diseases: from chronic pancreatitis, through benign cystic tumors and neuroendocrine neoplasms to malignant neoplasms, including pancreatic ductal adenocarcinoma (PDAC) [...]

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Distal Pancreatectomy - OWN Experience

Abstract: Distal pancreatectomy performed in a center experienced in pancreatic surgery is a safe procedure characterized by a low rate of complications and mortality.

Cited by 4 publications

References 31 publications

Comparison of treatment costs of laparoscopic and open surgery.

Comparison of treatment costs of laparoscopic and open surgery.

The influence of nutritional status on the incidence of postoperative complications in patients following distal pancreatectomy

Pancreatectomy and Pancreatic Surgery

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