ArticleSurgical endoscopy2018
Laparoscopic distal pancreatectomy: which factors are related to open conversion? Lessons learned from 68 consecutive procedures in a high-volume pancreatic center.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Risk factors and outcomes of conversion in minimally invasive distal pancreatectomy: a systematic review.Langenbeck's archives of surgery · 2021Pooled it
- What factors are associated with robotic distal pancreatectomy conversion?Gland surgery · 2025Article
- Effect of differences in vascular anatomy on surgical outcomes of left pancreatectomy: a retrospective study.World journal of surgical oncology · 2025Article
- An evidence-based model for predicting conversion to open surgery in minimally invasive distal pancreatectomy.Surgical endoscopy · 2024Article
- Converted laparoscopic distal pancreatectomy: is there an impact on patient outcome and total cost?Langenbeck's archives of surgery · 2022Article
- Implementation and training with laparoscopic distal pancreatectomy: 23-year experience from a high-volume center.Surgical endoscopy · 2022Article
- Laparoscopic versus open distal pancreatectomy: a single centre propensity score matching analysis.Updates in surgery · 2021Article
- Conversion to open laparotomy during laparoscopic distal pancreatectomy: lessons from a single-center experience in 70 consecutive patients.Surgery today · 2021Article
- Outcomes after distal pancreatectomy for neuroendocrine neoplasms: a retrospective comparison between minimally invasive and open approach using propensity score weighting.Surgical endoscopy · 2021Article
- The Usefulness of a Preoperative Nomogram for Predicting the Probability of Conversion from Laparoscopic to Open Distal Pancreatectomy: A Single-Center Experience.World journal of surgery · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic distal pancreatectomy represents a difficult surgical procedure with an high conversion rate to open procedure. The factors related to its difficulty and conversion to open distal pancreatectomy were rarely reported. The aim of the present study was to identify which factors are related to conversion from laparoscopic to open distal pancreatectomy.
methodsA retrospective study of a prospective database of 68 patients who underwent laparoscopic distal pancreatectomy was conducted at a high-volume center by pancreatic surgeons experienced with laparoscopic surgery. Pre-intra and postoperative data were collected. Patients who completed a laparoscopic distal pancreatectomy were compared with those who needed a conversion to the open approach as regard demographic, clinical, radiological, and surgical data. Univariate and multivariate analyses were carried out.
resultsUnivariate analysis suggested that the site of the lesion, the extension of pancreatic resection, and the requirement for an extended procedure to adjacent organs were significantly associated with the risk of conversion to the open approach. Multivariate analysis showed that only the extension of the pancreatic resection (subtotal pancreatectomy) was significantly related to the odds of conversion [odds ratio (OR) 19.5; 95% confidence interval (CI) 1.1-32.3; P = 0.038]. Preoperative suspicion of malignancy differed between the two groups; however, this difference did not reach statistical significance (P = 0.078).
conclusionsDespite the limitations of the study, only the extension of pancreatic resection seemed to be the main factor related to conversion during laparoscopic distal pancreatectomy.
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