Blood loss in laparoscopic distal pancreatectomy could be underestimated

Blood loss in laparoscopic distal pancreatectomy could be underestimated

Background Previous studies have reported that laparoscopic distal pancreatectomy (LDP) has an advantage in reducing blood loss over open distal pancreatectomy (ODP). This study was performed to investigate whether blood loss is truly reduced in LDP. Methods A total of 113 patients undergoing DP fro...

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Veröffentlicht in:Journal of hepato-biliary-pancreatic sciences 2023-07, Vol.30 (7), p.962-969
Hauptverfasser: Okui, Norimitsu, Furukawa, Kenei, Taniai, Tomohiko, Haruki, Koichiro, Tsunematsu, Masashi, Sakamoto, Taro, Uwagawa, Tadashi, Onda, Shinji, Gocho, Takeshi, Ikegami, Toru
Format: Artikel
Sprache:eng
Schlagworte:
Blood
blood loss
Hemoglobin
laparoscopic distal pancreatectomy
Laparoscopy
Pancreatectomy
Sharks
underestimation
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Zusammenfassung:Background Previous studies have reported that laparoscopic distal pancreatectomy (LDP) has an advantage in reducing blood loss over open distal pancreatectomy (ODP). This study was performed to investigate whether blood loss is truly reduced in LDP. Methods A total of 113 patients undergoing DP from 2014 to 2022 were classified into Open and LDP groups and compared by statistical analysis. Estimated blood loss (EBL) was calculated from the perioperative changes in the hematocrit, hemoglobin, or red blood cell volume, and actual blood loss (ABL) was taken from the operative record. Results ABL was significantly lower in the LDP than ODP group (50[5–1350] vs 335 [5–1950] ml, P 
ISSN:1868-6974
1868-6982
DOI:10.1002/jhbp.1306