ArticleSurgical endoscopy2012
Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center.
Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 7 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
47 citing papers in PubMed, 7 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Evaluating the economic efficiency of open, laparoscopic, and robotic distal pancreatectomy: an updated systematic review and network meta-analysis.Surgical endoscopy · 2024Pooled it
- Systematic review and meta-analysis of cost-effectiveness of minimally invasive versus open pancreatic resections.Langenbeck's archives of surgery · 2023Pooled it
- Postoperative Hypophosphatemia as a Prognostic Factor for Postoperative Pancreatic Fistula: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Pooled it
- Laparoscopic versus open distal pancreatectomy for pancreatic cancer.The Cochrane database of systematic reviews · 2016Pooled it
- Costs of laparoscopic and open liver and pancreatic resection: a systematic review.World journal of gastroenterology · 2014Pooled it
- A systematic review and meta-analysis of studies comparing laparoscopic and open distal pancreatectomy.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2012Pooled it
- Perioperative Outcomes in Robotic, Laparoscopic, and Open Distal Pancreatectomy: A Network Meta-Analysis and Meta-Regression.Cancers · 2025Article
- Distal pancreatectomy outcomes: Perspectives from a community-based teaching institution.Annals of hepato-biliary-pancreatic surgery · 2020Article
- Virtual reality with three-dimensional image guidance of individual patients' vessel anatomy in laparoscopic distal pancreatectomy.Langenbeck's archives of surgery · 2020Article
- Extremely high white blood cell counts on postoperative day 1 do not predict severe complications following distal pancreatectomy.Annals of hepato-biliary-pancreatic surgery · 2019Article
- Is there any different risk factor for clinical relevant pancreatic fistula according to the stump closure method following left-sided pancreatectomy?Annals of hepato-biliary-pancreatic surgery · 2019Article
- Identifying Hospital Cost Savings Opportunities by Optimizing Surgical Approach for Distal Pancreatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending.Canadian journal of surgery. Journal canadien de chirurgie · 2018Article
- Comparison between laparoscopic and open surgery for large gastrointestinal stromal tumors: A meta-analysis.World journal of gastrointestinal oncology · 2018Article
- The Hand-Assisted Laparoscopic Approach to Resection of Pancreatic Mucinous Cystic Neoplasms: An Underused Technique?The American surgeon · 2018Article
- Short- and long-term outcomes of laparoscopic organ-sparing resection in pancreatic neuroendocrine tumors: a single-center experience.Surgical endoscopy · 2017Article
- Analysis of the Cost Effectiveness of Laparoscopic Pancreatoduodenectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Laparoscopic surgery for pancreatic neoplasms: the European association for endoscopic surgery clinical consensus conference.Surgical endoscopy · 2017Article
- Attempts to prevent postoperative pancreatic fistula after distal pancreatectomy.Surgery today · 2017Review
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe cost implications of laparoscopic distal pancreatectomy (LDP) and a detailed breakdown of hospital expenditures has not been presented in the literature to date. This study aimed to compare hospital costs and short-term clinical outcomes between LDP and open distal pancreatectomy (ODP).
methodsThe authors evaluated all the distal pancreatic resections performed at their center between January 2004 and March 2010. Parametric and nonparametric statistical analysis was used to compare hospital departmental and total hospital costs as well as oncologic and surgical outcomes.
resultsA total of 118 cases (42 laparoscopic resections, including 5 conversions, and 76 open resections) were analyzed. The demographic characteristics were similar between the groups except for a predominance of females in the laparoscopic group (P = 0.036). The indications for surgery differed by a paucity of malignant tumors being approached laparoscopically (P < 0.001). Intraoperatively, there were no differences in estimated blood loss, operating room time, or transfusion requirement. The pathologic outcomes did not differ significantly. The median hospital length of stay (LOS) was 5 days (range 3-31 days) for the LDP cohort and 7 days (range 4-19 days) for the ODP cohort (P < 0.001). Postoperative pancreatic fistula occurred for 22 patients, with a higher proportion observed in the LDP group (28.57%; n = 12) than in the open group (13.16%; n = 10; P = 0.05). However, the rates for grade B and higher grade fistula were higher in the ODP group (0 LDP and 4 ODP). The median preadmission and operative costs did not differ significantly. The ODP cohort had significantly higher costs in all other hospital departments, including the total cost.
conclusionLDP is both a cost-effective and safe approach for distal pancreatic lesions. This series showed a shorter LOS and lower total hospital costs for LDP than for ODP, accompanied by equivalent postoperative outcomes.
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Registered trials
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