Minimally invasive versus open distal pancreatectomy for ductal adenocarcinoma (DIPLOMA): a pan-European propensity score matched study

Abstract

percutaneous therapeutic interventions under X-ray control were performed in patients with exudative complications. Results: Sensitivity, specificity and diagnostic accuracy of ultrasound imaging were respectively 84.7%, 73.4% and 78.8%. Sensitivity, specificity and diagnostic efficiency of cytological and microbiological examination of our data were, respectively, 86.9%, 95.2% and 91.6%. 737 miniinvasive percutaneous interventions were hold totaly. The implementation of miniinvasive percutaneous interventions helped to stop the disease process and to avoid open surgical procedures in 91.7% of cases. Conclusion: Fine-needle diagnostic puncture is a highly informative method for diagnosis of the nature and details of tissue damage and pathological process phase. The timely refining ultrasound diagnosis of various clinical and morphological forms of acute pancreatitis combined with diagnostic fine-needle puncture conducting allows to approach differentiately to the implementation of miniinvasive percutaneous interventions and to justify a strategic position in the surgical treatment of destructive pancreatitis.

A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients

“…LDP has been accepted as standard procedure for many pancreatic diseases including pancreatic cancer , and our present study supports these reports. However, difficulty of LDP varies depending on the type of operation, tumor size and location, and patient’s body shape.…”

Laparoscopic versus open pancreatic resection for ductal adenocarcinoma: separate propensity score matching analyses of distal pancreatectomy and pancreaticoduodenectomy

“…) and lower number of LNs (14 vs.22) [47]. But, this pan-European PSM study found the lower LN retrieval with LDP hardly impact on median OS (28 months vs. 31 months) [47].…”

“…) and lower number of LNs (14 vs.22) [47]. But, this pan-European PSM study found the lower LN retrieval with LDP hardly impact on median OS (28 months vs. 31 months) [47]. Generally speaking, studies including meta-analyses showed promising long-term outcomes of LDP for PDAC [48][49][50][51].…”

Laparoscopic versus open pancreatic resection for ductal adenocarcinoma: separate propensity score matching analyses of distal pancreatectomy and pancreaticoduodenectomy

“…Additionally, our data showed that LNs retrieved in LPD patients were not inferior to those of OPD (22.6 ± 6.5 vs. 21.0 ± 6.2, p = 0.07), and the LNs harvest of LDP was superior to ODP (14.4 ± 5.2 vs. 12.7 ± 5.0, p = 0.03). Noticeably, the DIPLOMA research revealed that LDP was linked to a higher R0 resection rate (67% vs. 58%) and a smaller number of LNs (14 vs.22) [52]. However, this pan-European PSM study discovered that lower LN retrieval with LDP does not make a noticeable difference to the average OS.…”