The Value of a Laparoscopic Approach in Pancreaticoduodenectomy

A propensity score-matched analysis compared the outcomes of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). LPD showed longer operative times, reduced blood loss, higher rates of pancreatic fistula and delayed gastric emptying, while postpancreatectomy hemorrhage, major morbidity, mortality, hospital stay, and readmissions were not significantly different. LPD was associated with higher intensive care use and overall costs. The study suggests that OPD offers similar to improved outcomes over LPD and is a more cost-effective approach for patients undergoing pancreaticoduodenectomy.