| Title: |
Laparoscopie versus laparotomie pour la duodénopancréatectomie céphalique : étude rétrospective comparative multicentrique |
| Authors: |
Fall, Seïla |
| Contributors: |
Thèses d'exercice et mémoires - UFR de Médecine Montpellier-Nîmes; Université de Montpellier (UM); Frédéric Borie |
| Source: |
https://dumas.ccsd.cnrs.fr/dumas-04197970 ; Médecine humaine et pathologie. 2023. |
| Publisher Information: |
CCSD |
| Publication Year: |
2023 |
| Collection: |
DUMAS (Dépôt Universitaire de Mémoires Après Soutenance) |
| Subject Terms: |
Duodénopancréatectomie céphalique; Morbi-mortalité; Résection carcinologique; MESH: Laparoscopie; [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Description: |
Background: pancreatoduodenectomy (PD) is one of the most demanding surgical procedures for which the use of minimally invasive approaches is still debated. The present study aims to compare the outcomes after laparoscopic pancreatoduodenectomy (LPD) versus open pancreatoduodenectomy (OPD).Results: after exclusions, we included 132 patients for OPD between May 2007 and March 2018. 132 patients underwent LPD between April 2010 and January 2023. The groups were comparable for most baseline characteristics. Regarding our primary outcome, we did not find a significant difference for severe postoperative complications (Clavien-Dindo score ≥3) between the LPD and OPD group (16.7% vs 23.5%; p=0.16). There were no significant differences for postoperative complications, reoperation, readmission and 90-day mortality. Average operative time (OT) was 78 minutes longer in the LPD group (348.9 min +/- 82.1 vs 270.8 min +/- 74.5; p |
| Document Type: |
master thesis |
| Language: |
French |
| Availability: |
https://dumas.ccsd.cnrs.fr/dumas-04197970; https://dumas.ccsd.cnrs.fr/dumas-04197970v1/document; https://dumas.ccsd.cnrs.fr/dumas-04197970v1/file/FALL%20Se%C3%AFla_Th%C3%A8se.pdf |
| Rights: |
https://creativecommons.org/licenses/by-nc-sa/4.0/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.726412FD |
| Database: |
BASE |