Laparoscopic versus open distal pancreatectomy in the management of traumatic pancreatic disruption.
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 of laparoendoscopic & advanced surgical techniques. Part A
Child; Female; Humans; Laparoscopy; Length of Stay; Male; Operative Time; Pancreas; Pancreatectomy; Postoperative Complications; Retrospective Studies; Tomography, X-Ray Computed; Trauma Centers; Treatment Outcome
Iqbal, Corey W.; Levy, Shauna M.; Tsao, Kuojen; Petrosyan, Mikael; Kane, Timothy D.; Pontarelli, Elizabeth M.; Upperman, Jeffrey S.; Malek, Marcus; Burns, R Cartland; Hill, Sarah; Wulkan, Mark L.; and St Peter, Shawn D., "Laparoscopic versus open distal pancreatectomy in the management of traumatic pancreatic disruption." (2012). Manuscripts, Articles, Book Chapters and Other Papers. 730.