TY - JOUR
T1 - A multicenter prospective registration study on laparoscopic pancreatectomy in Japan
T2 - report on the assessment of 1,429 patients
AU - Ohtsuka, Takao
AU - Nagakawa, Yuichi
AU - Toyama, Hirochika
AU - Takeda, Yutaka
AU - Maeda, Atsuyuki
AU - Kumamoto, Yusuke
AU - Nakamura, Yoshiharu
AU - Hashida, Kazuki
AU - Honda, Goro
AU - Fukuzawa, Kengo
AU - Toyoda, Eiji
AU - Tanabe, Minoru
AU - Gotohda, Naoto
AU - Matsumoto, Ippei
AU - Ryu, Tomoki
AU - Uyama, Ichiro
AU - Kojima, Toru
AU - Unno, Michiaki
AU - Ichikawa, Daisuke
AU - Inoue, Yosuke
AU - Matsukawa, Hiroyoshi
AU - Sudo, Takeshi
AU - Takaori, Kyoichi
AU - Yamaue, Hiroki
AU - Eguchi, Susumu
AU - Tahara, Munenori
AU - Shinzeki, Makoto
AU - Eguchi, Hidetoshi
AU - Kurata, Masanao
AU - Morimoto, Mamoru
AU - Hayashi, Hiromitsu
AU - Marubashi, Shigeru
AU - Inomata, Masafumi
AU - Kimura, Kenjiro
AU - Amaya, Koji
AU - Sho, Masayuki
AU - Yoshida, Ryuichi
AU - Murata, Akihiro
AU - Yoshitomi, Hideyuki
AU - Hakamada, Kenichi
AU - Yasunaga, Masafumi
AU - Abe, Nobutsugu
AU - Hioki, Masayoshi
AU - Tsuchiya, Masaru
AU - Misawa, Takeyuki
AU - Seyama, Yasuji
AU - Noshiro, Hirokazu
AU - Sakamoto, Eiji
AU - Hasegawa, Kiyoshi
AU - Kawabata, Yasunari
AU - Uchida, Yoichiro
AU - Kameyama, Shinichiro
AU - Ko, Saiho
AU - Takao, Takashi
AU - Kitahara, Kenji
AU - Nakahira, Shin
AU - Baba, Hideo
AU - Watanabe, Masahiko
AU - Yamamoto, Masakazu
AU - Nakamura, Masafumi
N1 - Funding Information:
The authors thank Dr Nobuhiro Torata for technical assistance with the maintenance of the online registration system. The authors thank all the following participating institutions: Hyogo College of Medicine, Nishinomiya, Hyogo, Japan; Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan; Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan; Department of Hepatobiliary Pancreatic and Transplant Surgery, Mie University School of Medicine, Tsu, Mie, Japan; Division of Gastroenterological Surgery, Saitama Cancer Center, Saitama, Japan; Department of Surgery, Arao Municipal Hospital, Arao, Kumamoto, Japan; Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Department of Surgery, Japan Community Health Care Organization, Kyushu Hospital, Kitakyushu, Fukuoka, Japan; Department of Gastroenterological Surgery (Surgery II), Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan; Department of Surgery, Hitachi General Hospital, Hitachi, Ibaraki, Japan; Department of Surgery, Oita Prefectural Hospital, Oita, Japan; Department of Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan; Department of Gastrointestinal Surgery, St. Luke’s International Hospital, Tokyo, Japan; Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima University, Kagoshima, Japan; Department of Surgery, Yokosuka Kyosai Hospital, Yokosuka, Kanagawa, Japan; Department of Surgery, Kumamoto Rosai Hospital, Yatsushiro, Kumamoto, Japan; Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan; Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University, Ibaraki, Japan; Department of Gastroenterological Surgery, Kagawa University, Kagawa, Japan; Department of Gastroenterological Surgery, Kameda Medical Center, Chiba, Japan; Department of Surgery, Konan Hospital, Kobe, Hyogo, Japan; Department of Surgery, Ehime University Hospital, Ehime, Japan; Department of Surgery, Obihiro‐Kosei General Hospital, Obihiro, Hokkaido, Japan; Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, Nagasaki, Japan; Department of Surgery, Suita Municipal Hospital, Suita, Osaka, Japan; Department of Hepatobiliary‐Pancreatic Surgery, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan; Department of General Surgery, Kimitsu Chuo Hospital, Kimitsu, Chiba, Japan; Department of Surgery, Bell‐land General Hospital, Sakai, Osaka, Japan; Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan; Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Aichi, Japan; Department of Surgery, Kansai Medical University, Hirakata, Osaka, Japan; Department of Digestive Surgery, Tochigi Cancer Center, Utsunomiya, Tochigi, Japan; Department of Surgery, Division of General and Gastroenterological Surgery, Showa University Hospital, Tokyo, Japan; Department of Surgery, Saitama Red Cross Hospital, Saitama, Japan; Department of Surgery, Japan Community Health Care Organization, Tokyo Takanawa Hospital, Tokyo, Japan; Department of Surgery, Chubu Tokushukai Hospital, Okinawa, Japan; Department of Surgery, Sendai Kousei Hospital, Sendai, Miyagi, Japan; Department of Surgery, Shin‐Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan; Department of Surgery, Koga General Hospital, Miyazaki, Japan; Department of Surgery, Sapporo City General Hospital, Sapporo, Hokkaido, Japan; Department of Surgery, Nagasaki Medical Center, National Hospital Organization, Nagasaki, Japan; Department of Surgery, Omihachiman Community Medical Center, Shiga, Japan; Department of Surgery, Kyoto Chubu Medical Center, Itami, Kyoto, Japan; Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan; Department of Surgery, Hakodate Central General Hospital, Hokkaido, Japan; Department of Surgery, Akita Kouseiren Hospital, Akita, Japan; Department of Surgery, Shizuoka Ciyt Shizuoka Hospital, Shizuoka, Japan.
Publisher Copyright:
© 2019 Japanese Society of Hepato-Biliary-Pancreatic Surgery
PY - 2020/2/1
Y1 - 2020/2/1
N2 - 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.
AB - 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.
KW - Distal pancreatectomy
KW - Laparoscopic pancreatectomy
KW - Pancreatoduodenectomy
KW - Prospective registration
UR - http://www.scopus.com/inward/record.url?scp=85076350235&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85076350235&partnerID=8YFLogxK
U2 - 10.1002/jhbp.695
DO - 10.1002/jhbp.695
M3 - Article
C2 - 31665567
AN - SCOPUS:85076350235
SN - 1868-6974
VL - 27
SP - 47
EP - 55
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
IS - 2
ER -