Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy
Abstract Aim Decreasing intraoperative blood loss is one reported advantage of laparoscopic surgery compared with open surgery. However, several reports indicate that blood loss during laparoscopic surgery may be underestimated. No studies have evaluated this possibility in laparoscopic distal pancr...
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| Format: | Article |
| Language: | English |
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Wiley
2025-05-01
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| Series: | Annals of Gastroenterological Surgery |
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| Online Access: | https://doi.org/10.1002/ags3.12888 |
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| author | Keisuke Toya Yoshito Tomimaru Shogo Kobayashi Kazuki Sasaki Yoshifumi Iwagami Daisaku Yamada Takehiro Noda Hidenori Takahashi Yuichiro Doki Hidetoshi Eguchi |
| author_facet | Keisuke Toya Yoshito Tomimaru Shogo Kobayashi Kazuki Sasaki Yoshifumi Iwagami Daisaku Yamada Takehiro Noda Hidenori Takahashi Yuichiro Doki Hidetoshi Eguchi |
| author_sort | Keisuke Toya |
| collection | DOAJ |
| description | Abstract Aim Decreasing intraoperative blood loss is one reported advantage of laparoscopic surgery compared with open surgery. However, several reports indicate that blood loss during laparoscopic surgery may be underestimated. No studies have evaluated this possibility in laparoscopic distal pancreatectomy (LDP). Here we evaluated estimated blood loss (e‐BL) compared to intraoperative blood loss (i‐BL) during distal pancreatectomy (DP). Methods This study included 114 patients undergoing DP in our institution during the study period. We examined the relationship between i‐BL and e‐BL. Based on these results, we further investigated the relationship with LDP. Results The laparoscopic approach was used in a significantly higher percentage of patients in e‐BL > i‐BL group compared to e‐BL < i‐BL group (55.9% vs 10.9%, p < 0.0001). Within the LDP group (n = 39), e‐BL was significantly more than i‐BL (388 ± 248 vs 127 ± 160 mL; p < 0.0001). Within the open distal pancreatectomy (ODP) group (n = 75), e‐BL was significantly less than i‐BL (168 ± 324 vs 281 ± 209 mL; p = 0.0017). The e‐BL > i‐BL trend in the LDP group was consistent, regardless of the indication for DP. In contrast, the finding of i‐BL > e‐BL in the ODP group was limited to patients with pancreatic cancer. Conclusion During LDP, e‐BL was significantly more than i‐BL. During ODP, e‐BL was significantly less than i‐BL, only in patients with pancreatic cancer. These results suggested the possibility of i‐BL underestimation during LDP, and overestimation during ODP in cases with pancreatic cancer. |
| format | Article |
| id | doaj-art-1d29b3d12b074a5bb25de9ff654c0e4b |
| institution | Kabale University |
| issn | 2475-0328 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Gastroenterological Surgery |
| spelling | doaj-art-1d29b3d12b074a5bb25de9ff654c0e4b2025-08-20T03:49:40ZengWileyAnnals of Gastroenterological Surgery2475-03282025-05-019356957710.1002/ags3.12888Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomyKeisuke Toya0Yoshito Tomimaru1Shogo Kobayashi2Kazuki Sasaki3Yoshifumi Iwagami4Daisaku Yamada5Takehiro Noda6Hidenori Takahashi7Yuichiro Doki8Hidetoshi Eguchi9Department of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanDepartment of Gastroenterological Surgery, Graduate School of Medicine Osaka University Osaka JapanAbstract Aim Decreasing intraoperative blood loss is one reported advantage of laparoscopic surgery compared with open surgery. However, several reports indicate that blood loss during laparoscopic surgery may be underestimated. No studies have evaluated this possibility in laparoscopic distal pancreatectomy (LDP). Here we evaluated estimated blood loss (e‐BL) compared to intraoperative blood loss (i‐BL) during distal pancreatectomy (DP). Methods This study included 114 patients undergoing DP in our institution during the study period. We examined the relationship between i‐BL and e‐BL. Based on these results, we further investigated the relationship with LDP. Results The laparoscopic approach was used in a significantly higher percentage of patients in e‐BL > i‐BL group compared to e‐BL < i‐BL group (55.9% vs 10.9%, p < 0.0001). Within the LDP group (n = 39), e‐BL was significantly more than i‐BL (388 ± 248 vs 127 ± 160 mL; p < 0.0001). Within the open distal pancreatectomy (ODP) group (n = 75), e‐BL was significantly less than i‐BL (168 ± 324 vs 281 ± 209 mL; p = 0.0017). The e‐BL > i‐BL trend in the LDP group was consistent, regardless of the indication for DP. In contrast, the finding of i‐BL > e‐BL in the ODP group was limited to patients with pancreatic cancer. Conclusion During LDP, e‐BL was significantly more than i‐BL. During ODP, e‐BL was significantly less than i‐BL, only in patients with pancreatic cancer. These results suggested the possibility of i‐BL underestimation during LDP, and overestimation during ODP in cases with pancreatic cancer.https://doi.org/10.1002/ags3.12888blood lossdistal pancreatectomyestimationlaparoscopicopen |
| spellingShingle | Keisuke Toya Yoshito Tomimaru Shogo Kobayashi Kazuki Sasaki Yoshifumi Iwagami Daisaku Yamada Takehiro Noda Hidenori Takahashi Yuichiro Doki Hidetoshi Eguchi Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy Annals of Gastroenterological Surgery blood loss distal pancreatectomy estimation laparoscopic open |
| title | Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| title_full | Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| title_fullStr | Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| title_full_unstemmed | Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| title_short | Possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| title_sort | possibility of incorrect evaluation of intraoperative blood loss during open and laparoscopic distal pancreatectomy |
| topic | blood loss distal pancreatectomy estimation laparoscopic open |
| url | https://doi.org/10.1002/ags3.12888 |
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