Comparison of open with laparoscopic distal pancreatectomy: a single institution's transition over a 7‐year period

Abstract Objectives Many studies have shown laparoscopic distal pancreatectomy (LDP) to have benefits over open distal pancreatectomy (ODP). This institution made a unique abrupt transition from an exclusively open approach to a preference for the laparoscopic technique. This study aimed to compare outcomes in patients undergoing LDP and ODP, respectively, over the period of transition. Methods A retrospective review of all patients undergoing LDP ( n = 82) or ODP ( n = 90) was performed. Surrogate oncologic markers for the subgroup of patients with malignant disease were also studied. Results The ODP and LDP groups were well matched with regard to demographics, comorbidities and tumour characteristics. Significant differences were noted in favour of the LDP group in which decreases were seen in estimated blood loss (