An Open Pancreaticoduedenectomy Vs Minimally Invasive: A Propensity Matched Analysis From A Group of Patients

Abstract

Background: There aren't many well-controlled research evaluating the perioperative results of OPD with MIPD. Methodology: This was a retrospective study of elective MIPD and OPD performed at 120 visiting Department of General Surgery, Meenakshi Medical College, Hospital and Research Institute, Kanchipuram. The NSQIP program collects more than 150 variables from 500 participating hospitals, including preoperative, intraoperative, and 30-day postoperative mortality, and morbidity outcomes. Results: 334 (7.4%) of the 4484 patients who were found underwent MIPD. Patients with MIPD were less likely to lose weight, younger, and more likely to be White. They were more likely to have a drain installed and to have a classic Whipple procedure. Following a 3:1 matching procedure, 334 MIPD patients and 1002 OPD patients were compared. Individuals with MIPD exhibited decreased rates of transfusion (7.9% vs. 14.4%; P = 0.02) and total surgical site infection (13.4% vs. 19.6%; P = 0.04), according to a secondary analysis comparing MIPD without conversion or open assist with OPD. Conclusions: Although an increased readmission rate somewhat offsets the advantages of a lower incidence of prolonged length of stay, MIPD had an identical morbidity and death rate to OPD.