Radical resection occurred in 73 percent undergoing minimally invasive surgery, 69 percent undergoing open distal pancreatectomy<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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THURSDAY, June 1, 2023 (HealthDay News) — For patients with resectable pancreatic cancer, minimally invasive distal pancreatectomy (MIDP) is noninferior to open distal pancreatectomy (ODP), according to a study presented at the annual meeting of the American Society of Clinical Oncology, held from June 2 to 6 in Chicago.<\/p>\n
Mohammed Abu Hilal, M.D., Ph.D., from the Instituto Ospedaliero Fondazione Poliambulanza in Brescia, Italy, and colleagues conducted a noninferiority trial involving patients with resectable pancreatic cancer from 35 centers in 12 countries. Participants were randomly assigned to MIDP (laparoscopic or robotic) or ODP (131 and 127 patients, respectively).<\/p>\n
The modified intention-to-treat analysis population included 117 in the MIDP group and 114 patients in the ODP group. The researchers found that a radical resection (R0, <1 mm free margin) occurred in 73 and 69 percent of patients in the MIDP and ODP groups, respectively (difference, 4 percent). The groups had a comparable median lymph node yield (22.0 and 23.0 nodes for MIDP and ODP, respectively) and a similar rate of intraperitoneal recurrence (41 and 38 percent for MIDP and ODP, respectively). Other postoperative outcomes were also similar in the groups.<\/p>\n
“For pancreatic cancer, we have proven for the first time that minimally invasive distal pancreatectomy is as good as open surgery,” Abu Hilal said in a statement. “Our research provides reassurance for surgeons and can help patients by giving them the information they need to have a conversation with their doctor about how they want to be treated.”<\/p>\n
Press Release<\/a><\/p>\n