Importance: Interest in minimally invasive distal pancreatectomy (MIDP) has grown in recent years, but currently available data are limited VSports手机版. Greater insight into application patterns and outcomes may be gained from a national database inquiry. .

Objectives: To study trends in the use of MIDP and compare the short-term outcomes of MIDP with those of open distal pancreatectomy V体育安卓版. .

Design, setting, and participants: Population-based retrospective cohort study evaluating perioperative outcomes and hospital charge measures for distal pancreatectomy, comparing the surgical approaches and adjusting for patient- and hospital-level factors, among patients undergoing elective distal pancreatectomy from 1998 to 2009 in the Nationwide Inpatient Sample in a 20% stratified sample of all US hospitals V体育ios版. .

Main outcomes and measures: In-hospital mortality, rates of perioperative complications and splenectomy, total charges, and length of stay VSports最新版本. .

Results: A total of 8957 distal pancreatectomies were included in this analysis, of which 382 (4. 3%) were MIDPs. On a national level, this projected to 42,320 open distal pancreatectomies and 1908 MIDPs. The proportion of distal pancreatectomies performed via minimally invasive approaches tripled between 1998 and 2009, from 2. 4% to 7. 3% V体育平台登录. The groups were comparable for sex and comorbidity profiles, while patients who underwent MIDP were 1. 5 years older. On multivariate analysis, MIDP was associated with lower rates of overall predischarge complications, including lower incidences of postoperative infections and bleeding complications, as well as a shorter length of stay by 1. 22 days. There were no differences in rates of in-hospital mortality, concomitant splenectomy, or total charges. .

Conclusions and relevance: This population-based study of MIDP reveals that the application of this approach has tripled in practice and provides strong evidence that MIDP has evolved into a safe option in the treatment of benign and malignant pancreatic diseases VSports注册入口. .