Laparoscopic versus open distal pancreatectomy in the management of traumatic pancreatic disruption.

Document Type

Article

Publication Date

7-1-2012

Identifier

DOI: 10.1089/lap.2012.0002

Abstract

PURPOSE: Traumatic pancreatic transection is uncommon. The role of laparoscopy in the setting of this injury has not been well described.

PATIENTS AND METHODS: Six large-volume pediatric trauma centers contributed patients2010.

RESULTS: Twenty-one patients without another indication for emergency laparotomy underwent a distal pancreatectomy for Grade III pancreatic injuries, of which 7 underwent laparoscopic distal pancreatectomy. Mean (±SD) age was 8.6±4.7 years, and 67% were male. There was no difference in the presence of other injuries between the two groups (43% in each group). Computed tomography revealed a transected pancreas in 85% of the laparoscopic patients and 75% of the open group (P=1.0). Mean operative time was 218±101 minutes with laparoscopy compared with 195±111 minutes with the open procedure (P=.7). Median duration of hospitalization was 6 days (range, 6-18 days) in the laparoscopic group compared with 11 days (range, 5-26 days) in the open group (P=0.3). Postoperative morbidity was not different between the two groups (57% versus 21% for laparoscopic versus open, P=.2).

CONCLUSIONS: Laparoscopy is equivalent to open distal pancreatectomy in children with select traumatic pancreatic injuries.

Journal Title

Journal of laparoendoscopic & advanced surgical techniques. Part A

Volume

22

Issue

6

First Page

595

Last Page

598

MeSH Keywords

Child; Female; Humans; Laparoscopy; Length of Stay; Male; Operative Time; Pancreas; Pancreatectomy; Postoperative Complications; Retrospective Studies; Tomography, X-Ray Computed; Trauma Centers; Treatment Outcome

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