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Minimally invasive versus open distal pancreatectomy for pancreatic neuroendocrine tumors: An analysis from the U.S. neuroendocrine tumor study group

Zhang, Xu‐Feng ; Lopez‐Aguiar, Alexandra G. ; Poultsides, George ; Makris, Eleftherios ; Rocha, Flavio ; Kanji, Zaheer ; Weber, Sharon ; Fields, Ryan ; Krasnick, Bradley A. ; Idrees, Kamran ; Smith, Paula M. ; Cho, Cliff ; Schmidt, Carl R. ; Maithel, Shishir K. ; Pawlik, Timothy M.

Journal of surgical oncology, 2019-08, Vol.120 (2), p.231-240 [Periódico revisado por pares]

United States: Wiley Subscription Services, Inc

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Título:
Minimally invasive versus open distal pancreatectomy for pancreatic neuroendocrine tumors: An analysis from the U.S. neuroendocrine tumor study group
Autor: Zhang, Xu‐Feng ; Lopez‐Aguiar, Alexandra G. ; Poultsides, George ; Makris, Eleftherios ; Rocha, Flavio ; Kanji, Zaheer ; Weber, Sharon ; Fields, Ryan ; Krasnick, Bradley A. ; Idrees, Kamran ; Smith, Paula M. ; Cho, Cliff ; Schmidt, Carl R. ; Maithel, Shishir K. ; Pawlik, Timothy M.
Assuntos: Aged ; Cancer surgery ; Female ; Humans ; laparoscopic ; Laparoscopy ; Male ; Middle Aged ; neuroendocrine tumor ; Neuroendocrine tumors ; Neuroendocrine Tumors - mortality ; Neuroendocrine Tumors - surgery ; pancreas ; Pancreatectomy ; Pancreatic cancer ; Pancreatic Neoplasms - mortality ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy ; prognosis ; Propensity Score ; robotic ; Robotic Surgical Procedures ; Survival Rate ; Treatment Outcome ; United States
É parte de: Journal of surgical oncology, 2019-08, Vol.120 (2), p.231-240
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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Descrição: Background To determine short‐ and long‐term oncologic outcomes after minimally invasive distal pancreatectomy (MIDP) with open distal pancreatectomy (ODP) for the treatment of pancreatic neuroendocrine tumor (pNET). Methods The data of the patients who underwent curative MIDP or ODP for pNET between 2000 and 2016 were collected from a multi‐institutional database. Propensity score matching (PSM) was used to generate 1:1 matched patients with MIDP and ODP. Results A total of 576 patients undergoing curative DP for pNET were included. Two hundred and fourteen (37.2%) patients underwent MIDP, whereas 362 (62.8%) underwent ODP. MIDP was increasingly performed over time (2000‐2004: 9.3% vs 2013‐2016: 54.8%; P < 0.01). In the matched cohort (n = 141 in each group), patients who underwent MIDP had less blood loss (median, 100 vs 200 mL, P < 0.001), lower incidence of Clavien‐Dindo ≥ III complications (12.1% vs 24.8%, P = 0.026), and a shorter hospital stay versus ODP (median, 4 versus 7 days, P = 0.026). Patients who underwent MIDP had a lower incidence of recurrence (5‐year cumulative recurrence, 10.1% vs 31.1%, P < 0.001), yet equivalent overall survival (OS) rate (5‐year OS, 92.1% vs 90.9%, P = 0.550) compared with patients who underwent OPD. Conclusion Patients undergoing MIDP over ODP in the treatment of pNET had comparable oncologic surgical metrics, as well as similar long‐term OS.
Editor: United States: Wiley Subscription Services, Inc
Idioma: Inglês

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Minimally invasive versus open distal pancreatectomy for pancreatic neuroendocrine tumors: An analysis from the U.S. neuroendocrine tumor study group

Zhang, Xu‐Feng ; Lopez‐Aguiar, Alexandra G. ; Poultsides, George ; Makris, Eleftherios ; Rocha, Flavio ; Kanji, Zaheer ; Weber, Sharon ; Fields, Ryan ; Krasnick, Bradley A. ; Idrees, Kamran ; Smith, Paula M. ; Cho, Cliff ; Schmidt, Carl R. ; Maithel, Shishir K. ; Pawlik, Timothy M.

United States: Wiley Subscription Services, Inc

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