A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients

Takao Ohtsuka, Yuichi Nagakawa, Hirochika Toyama, Yutaka Takeda, Atsuyuki Maeda, Yusuke Kumamoto, Yoshiharu Nakamura, Kazuki Hashida, Goro Honda, Kengo Fukuzawa, Eiji Toyoda, Minoru Tanabe, Naoto Gotohda, Ippei Matsumoto, Tomoki Ryu, Ichiro Uyama, Toru Kojima, Michiaki Unno, Daisuke Ichikawa, Yosuke InoueHiroyoshi Matsukawa, Takeshi Sudo, Kyoichi Takaori, Hiroki Yamaue, Susumu Eguchi, Munenori Tahara, Makoto Shinzeki, Hidetoshi Eguchi, Masanao Kurata, Mamoru Morimoto, Hiromitsu Hayashi, Shigeru Marubashi, Masafumi Inomata, Kenjiro Kimura, Koji Amaya, Masayuki Sho, Ryuichi Yoshida, Akihiro Murata, Hideyuki Yoshitomi, Kenichi Hakamada, Masafumi Yasunaga, Nobutsugu Abe, Masayoshi Hioki, Masaru Tsuchiya, Takeyuki Misawa, Yasuji Seyama, Hirokazu Noshiro, Eiji Sakamoto, Kiyoshi Hasegawa, Yasunari Kawabata, Yoichiro Uchida, Shinichiro Kameyama, Saiho Ko, Takashi Takao, Kenji Kitahara, Shin Nakahira, Hideo Baba, Masahiko Watanabe, Masakazu Yamamoto, Masafumi Nakamura

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Prospective studies are needed to understand the safety and feasibility of laparoscopic pancreatectomy. The aim of the present study was to describe laparoscopic pancreatectomy currently undertaken in Japan, using a prospective registration system. Methods: Patient characteristics and planned operations were registered preoperatively, and then the performed operation and outcomes were reported using an online system. Collected data were also compared between institutions based on their level of experience. This study was registered with UMIN000022836. Results: Available data were obtained from 1,429 patients at 100 Japanese institutions, including 1,197 laparoscopic distal pancreatectomies (LDPs) and 232 laparoscopic pancreatoduodenectomies (LPDs). The rates of completion for planned operations were 92% for LDP and 91% for LPD. Postoperative complication rates after LDP and LPD were 17% and 30%, and 90-day mortality rates were 0.3% and 0.4%, respectively. Shorter operation time, less blood loss, and lower incidence of pancreatic fistula were observed in institutions experienced in LDP. A higher rate of pure laparoscopic procedure and shorter operation time were noted in institutions experienced with LPD. Conclusion: LDPs and LPDs are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy.

Original languageEnglish
Pages (from-to)47-55
Number of pages9
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume27
Issue number2
DOIs
Publication statusPublished - 01-02-2020

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

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    Ohtsuka, T., Nagakawa, Y., Toyama, H., Takeda, Y., Maeda, A., Kumamoto, Y., Nakamura, Y., Hashida, K., Honda, G., Fukuzawa, K., Toyoda, E., Tanabe, M., Gotohda, N., Matsumoto, I., Ryu, T., Uyama, I., Kojima, T., Unno, M., Ichikawa, D., ... Nakamura, M. (2020). A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients. Journal of Hepato-Biliary-Pancreatic Sciences, 27(2), 47-55. https://doi.org/10.1002/jhbp.695