UNASSIGNED: The clinical data of patients who underwent PD combined with PV/SMV resection and reconstruction from March 2016 to August 2022 at our institution were retrospectively analyzed. The perioperative outcomes and survival outcomes were compared after propensity score matching (PSM).
UNASSIGNED: The original cohort included 64 patients. Sixteen pairs of patients were obtained by 1:1 PSM. The intraoperative blood loss was greater in the OPD group than in the LPD group (550 vs. 200 mL, P=0.04), and the PV clamp time was longer in the LPD group than in the OPD group (29.4 vs. 18.8 min, P<0.001). There was no significant difference in the incidence of postoperative complications. The median overall survival and progression-free survival were comparable between the two groups (P>0.05).
UNASSIGNED: LPD combined with PV/SMV resection and reconstruction is safe and feasible in selected patients and results in similar perioperative outcomes and prognosis as open surgery.
■回顾性分析2016年3月至2022年8月在我院接受PD合并PV/SMV切除重建的患者的临床资料。倾向评分匹配(PSM)后比较围手术期结局和生存结局。
■原始队列包括64名患者。通过1:1PSM获得了16对患者。OPD组的术中失血量大于LPD组(550vs.200mL,P=0.04),LPD组的PV钳夹时间长于OPD组(29.4vs.18.8min,P<0.001)。术后并发症发生率差异无统计学意义。两组中位总生存期和无进展生存期具有可比性(P>0.05)。
■LPD联合PV/SMV切除和重建在选定的患者中是安全可行的,并导致与开放手术相似的围手术期结果和预后。