Pankreasın Benign veya Malign Lezyonlarında Laparoskopik ve Açık Distal Pankreatektominin Karşılaştırılması

INTRODUCTION : Due to advances in technology, the rate of preferring minimally invasive procedures in pancreatic surgery is increasing. Our aim is to compare the patients with benign or malignant lesions of the pancreas who underwent laparoscopic distal pancreatectomy (LDP) versus open distal pancreatectomy (ODP), in terms of clinical, pathological and postoperative outcomes. METHODS : Data of patients who underwent distal pancreatectomy for diseases of the body or tail of the pancreas between March 2014 and September 2020 were retrospectively analyzed. The patients were divided into two groups as laparoscopic or open, according to their surgical methods and the groups were compared in terms of demographic characteristics, surgical outcomes, postoperative results and pathological outcomes. RESULTS : There were 40 patients in the LDP group and 43 patients in the ODP group. There were no statistical differences between the two groups in terms of age, sex, body mass index and ASA scores. The mean operative time was 259±71 minutes in LDP and 260±68 minutes in ODP (p=0.86). The pancreatic stump was closed with stapler in 18 (45%) patients in the LDP group and in 6 (14%) patients in the ODP group (p=0.03). The length of hospital stay was significantly shorter in the LDP group (LDP;7.8±1.9 vs ODP;10.9±4.2, p=0.01). Clinically relevant Grade B postoperative pancreatic fistula was detected in 5 (12.5%) patients in the LDP group and 7 (16.2%) in the ODP group (p>0.05). There were no statistically significant differences between the groups in terms of tumor size, the mean number of harvested lymph nodes and the mean number of pathological lymph nodes. DISCUSSION and CONCLUSION : We think that laparoscopic method can be preferred safely in patients who will undergo distal pancreatectomy for benign or malignant lesions of the pancreas.