Conversion of Minimally Invasive Distal Pancreatectomy: Predictors and Outcomes

Background Data on the risk factors for conversion during minimally invasive distal pancreatectomy (MIDP) and its effect on postoperative outcomes are limited. Methods This retrospective study used the pancreas-targeted American College of Surgeons National Surgical Quality Improvement Program datab...

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Bibliographic Details
Published in:Annals of surgical oncology 2017-11, Vol.24 (12), p.3725-3731
Main Authors: Nassour, Ibrahim, Wang, Sam C., Porembka, Matthew R., Augustine, Mathew M., Yopp, Adam C., Mansour, John C., Minter, Rebecca M., Choti, Michael A., Polanco, Patricio M.
Format: Article
Language:English
Subjects:
Albumin
Body mass
Body mass index
Female
Follow-Up Studies
Humans
Laparoscopy
Laparoscopy - mortality
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Oncology
Pancreas
Pancreatectomy
Pancreatectomy - mortality
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Pancreatic Tumors
Pancreatitis
Patient Selection
Postoperative Complications
Quality control
Retrospective Studies
Risk factors
Robotic surgery
Robotic Surgical Procedures - mortality
Smoking
Surgery
Surgical Oncology
Survival Rate
Treatment Outcome
Tumors
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Summary:Background Data on the risk factors for conversion during minimally invasive distal pancreatectomy (MIDP) and its effect on postoperative outcomes are limited. Methods This retrospective study used the pancreas-targeted American College of Surgeons National Surgical Quality Improvement Program database to compare MIDP requiring unplanned conversion with completed MIDP and open distal pancreatectomy (ODP). Results Of the 2926 cases identified in this study, 48.8% had ODP, 42.8% had MIDP, and 7.9% had conversion to MIDP. The conversion rate was 15.3% overall, 17.3% for laparoscopic surgery, and 8.5% for robotic surgery ( p  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-017-6062-5