BACKGROUND: Published comparisons of laparoscopic (laparoscopic distal pancreatectomy [LDP]) to open distal pancreatectomy (ODP) identify improved lengths of stay (LOS) after LDP but do not include data on readmissions. METHODS: Demographic, operative, and postoperative outcomes data for patients undergoing LDP or ODP between August 2007 and December 2009 were culled from our prospectively accruing pancreatic database. Electronic medical records were reviewed to determine cause, treatment, and LOS for readmissions. RESULTS: Patients undergoing LDP were statistically identical to those undergoing ODP in regard to age, presentation, demographic characteristics, comorbidities, operative times, tumor sizes, morbidity, mortality, and pancreatic fistula rates. The initial LOS was statistically shorter for those undergoing LDP (4.8 ± .1 days vs 8.7 ± .1 days, P < .001). The readmission rate for LDP was statistically higher than for ODP (25% vs 8%, P < .05). Overall LOS for LDP was 7.2 ± .3 days versus 9.3 ± .1 days for ODP (P = .2). CONCLUSIONS: Adding readmission LOS to initial LOS eliminates the perceived effect of LDP to accelerate recovery.
BACKGROUND: Published comparisons of laparoscopic (laparoscopic distal pancreatectomy [LDP]) to open distal pancreatectomy (ODP) identify improved lengths of stay (LOS) after LDP but do not include data on readmissions. METHODS: Demographic, operative, and postoperative outcomes data for patients undergoing LDP or ODP between August 2007 and December 2009 were culled from our prospectively accruing pancreatic database. Electronic medical records were reviewed to determine cause, treatment, and LOS for readmissions. RESULTS:Patients undergoing LDP were statistically identical to those undergoing ODP in regard to age, presentation, demographic characteristics, comorbidities, operative times, tumor sizes, morbidity, mortality, and pancreatic fistula rates. The initial LOS was statistically shorter for those undergoing LDP (4.8 ± .1 days vs 8.7 ± .1 days, P < .001). The readmission rate for LDP was statistically higher than for ODP (25% vs 8%, P < .05). Overall LOS for LDP was 7.2 ± .3 days versus 9.3 ± .1 days for ODP (P = .2). CONCLUSIONS: Adding readmission LOS to initial LOS eliminates the perceived effect of LDP to accelerate recovery.
Authors: Paolo Limongelli; Chiara Vitiello; Andrea Belli; Madhava Pai; Salvatore Tolone; Gianmattia Del Genio; Luigi Brusciano; Giovanni Docimo; Nagy Habib; Giulio Belli; Long Richard Jiao; Ludovico Docimo Journal: World J Gastroenterol Date: 2014-12-14 Impact factor: 5.742
Authors: Jason T Wiseman; Amanda M Guzman; Sara Fernandes-Taylor; Travis L Engelbert; R Scott Saunders; K Craig Kent Journal: J Am Coll Surg Date: 2014-05-22 Impact factor: 6.113
Authors: Marshall S Baker; Karen L Sherman; Susan Stocker; Amanda V Hayman; David J Bentrem; Richard A Prinz; Mark S Talamonti Journal: J Gastrointest Surg Date: 2012-12-06 Impact factor: 3.452
Authors: Tao Jin; Kiran Altaf; Jun J Xiong; Wei Huang; Muhammad A Javed; Gang Mai; Xu B Liu; Wei M Hu; Qing Xia Journal: HPB (Oxford) Date: 2012-08-07 Impact factor: 3.647
Authors: Ching-Wei D Tzeng; Matthew H G Katz; Jeffrey E Lee; Jason B Fleming; Peter W T Pisters; Jean-Nicolas Vauthey; Thomas A Aloia Journal: HPB (Oxford) Date: 2013-07-22 Impact factor: 3.647