Impact of laparoscopy in patients aged over 70 years requiring distal pancreatectomy: a French multicentric comparative study

摘要: Few data are available concerning short-term results of minimally invasive surgery in patients > 70 years old requiring distal pancreatectomy. The aim this study was to compare after laparoscopic (LDP) versus open pancreatectomy (ODP) subgroup patients. All who underwent 3 expert centers between 1995 and 2017 were included retrospectively analyzed. Demographic, intraoperative postoperative outcomes LDP ODP groups compared. A performed 109 elderly patients; group 53 patients while 56. There 55 (50.5%) males 54 (49.5%) women with a median age 75 years (range 70–87). Fifty (45.9%) 70–74, 40 (36.7%) 75–79, 19 (17.4%) over 80 years. Nine (8.2%) required conversion surgery. operative time not different (204 vs. 220 min, p = 0.62). blood loss significantly lower the (238 ± 312 425 ± 582 ml, p = 0.009) no difference regarding transfusion rate. 90-day mortality (0 5%, p = 0.42), overall complication (45.4 51.8%, p = 0.53), major (18.2 12.5%, p = 0.43), grade B/C pancreatic fistula (6.8 7.1%, p = 0.71), comparable 2 groups. Only confusion rate (4.5 25%, p = 0.01). Median length stay (14 ± 10 16 ± 11 days, p = 0.04). R0 resection 94% 89% without significant (p = 0.73). approach seems reduce loss, confusion,