A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients

Takao Ohtsuka, Yuichi Nagakawa, Hirochika Toyama, Yutaka Takeda, Atsuyuki Maeda, Yusuke Kumamoto, Yoshiharu Nakamura, Kazuki Hashida, Goro Honda, Kengo Fukuzawa, Eiji Toyoda, Minoru Tanabe, Naoto Gotohda, Ippei Matsumoto, Tomoki Ryu, Ichiro Uyama, Toru Kojima, Michiaki Unno, Daisuke Ichikawa, Yosuke InoueHiroyoshi Matsukawa, Takeshi Sudo, Kyoichi Takaori, Hiroki Yamaue, Susumu Eguchi, Munenori Tahara, Makoto Shinzeki, Hidetoshi Eguchi, Masanao Kurata, Mamoru Morimoto, Hiromitsu Hayashi, Shigeru Marubashi, Masafumi Inomata, Kenjiro Kimura, Koji Amaya, Masayuki Sho, Ryuichi Yoshida, Akihiro Murata, Hideyuki Yoshitomi, Kenichi Hakamada, Masafumi Yasunaga, Nobutsugu Abe, Masayoshi Hioki, Masaru Tsuchiya, Takeyuki Misawa, Yasuji Seyama, Hirokazu Noshiro, Eiji Sakamoto, Kiyoshi Hasegawa, Yasunari Kawabata, Yoichiro Uchida, Shinichiro Kameyama, Saiho Ko, Takashi Takao, Kenji Kitahara, Shin Nakahira, Hideo Baba, Masahiko Watanabe, Masakazu Yamamoto, Masafumi Nakamura

Research output: Contribution to journalArticle

Abstract

Background: Prospective studies are needed to understand the safety and feasibility of laparoscopic pancreatectomy. The aim of the present study was to describe laparoscopic pancreatectomy currently undertaken in Japan, using a prospective registration system. Methods: Patient characteristics and planned operations were registered preoperatively, and then the performed operation and outcomes were reported using an online system. Collected data were also compared between institutions based on their level of experience. This study was registered with UMIN000022836. Results: Available data were obtained from 1,429 patients at 100 Japanese institutions, including 1,197 laparoscopic distal pancreatectomies (LDPs) and 232 laparoscopic pancreatoduodenectomies (LPDs). The rates of completion for planned operations were 92% for LDP and 91% for LPD. Postoperative complication rates after LDP and LPD were 17% and 30%, and 90-day mortality rates were 0.3% and 0.4%, respectively. Shorter operation time, less blood loss, and lower incidence of pancreatic fistula were observed in institutions experienced in LDP. A higher rate of pure laparoscopic procedure and shorter operation time were noted in institutions experienced with LPD. Conclusion: LDPs and LPDs are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy.

Original languageEnglish
JournalJournal of Hepato-Biliary-Pancreatic Sciences
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Pancreatectomy
Japan
Pancreaticoduodenectomy
Prospective Studies
Online Systems
Pancreatic Fistula
Safety
Mortality
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

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A multicenter prospective registration study on laparoscopic pancreatectomy in Japan : report on the assessment of 1,429 patients. / Ohtsuka, Takao; Nagakawa, Yuichi; Toyama, Hirochika; Takeda, Yutaka; Maeda, Atsuyuki; Kumamoto, Yusuke; Nakamura, Yoshiharu; Hashida, Kazuki; Honda, Goro; Fukuzawa, Kengo; Toyoda, Eiji; Tanabe, Minoru; Gotohda, Naoto; Matsumoto, Ippei; Ryu, Tomoki; Uyama, Ichiro; Kojima, Toru; Unno, Michiaki; Ichikawa, Daisuke; Inoue, Yosuke; Matsukawa, Hiroyoshi; Sudo, Takeshi; Takaori, Kyoichi; Yamaue, Hiroki; Eguchi, Susumu; Tahara, Munenori; Shinzeki, Makoto; Eguchi, Hidetoshi; Kurata, Masanao; Morimoto, Mamoru; Hayashi, Hiromitsu; Marubashi, Shigeru; Inomata, Masafumi; Kimura, Kenjiro; Amaya, Koji; Sho, Masayuki; Yoshida, Ryuichi; Murata, Akihiro; Yoshitomi, Hideyuki; Hakamada, Kenichi; Yasunaga, Masafumi; Abe, Nobutsugu; Hioki, Masayoshi; Tsuchiya, Masaru; Misawa, Takeyuki; Seyama, Yasuji; Noshiro, Hirokazu; Sakamoto, Eiji; Hasegawa, Kiyoshi; Kawabata, Yasunari; Uchida, Yoichiro; Kameyama, Shinichiro; Ko, Saiho; Takao, Takashi; Kitahara, Kenji; Nakahira, Shin; Baba, Hideo; Watanabe, Masahiko; Yamamoto, Masakazu; Nakamura, Masafumi.

In: Journal of Hepato-Biliary-Pancreatic Sciences, 01.01.2019.

Research output: Contribution to journalArticle

Ohtsuka, T, Nagakawa, Y, Toyama, H, Takeda, Y, Maeda, A, Kumamoto, Y, Nakamura, Y, Hashida, K, Honda, G, Fukuzawa, K, Toyoda, E, Tanabe, M, Gotohda, N, Matsumoto, I, Ryu, T, Uyama, I, Kojima, T, Unno, M, Ichikawa, D, Inoue, Y, Matsukawa, H, Sudo, T, Takaori, K, Yamaue, H, Eguchi, S, Tahara, M, Shinzeki, M, Eguchi, H, Kurata, M, Morimoto, M, Hayashi, H, Marubashi, S, Inomata, M, Kimura, K, Amaya, K, Sho, M, Yoshida, R, Murata, A, Yoshitomi, H, Hakamada, K, Yasunaga, M, Abe, N, Hioki, M, Tsuchiya, M, Misawa, T, Seyama, Y, Noshiro, H, Sakamoto, E, Hasegawa, K, Kawabata, Y, Uchida, Y, Kameyama, S, Ko, S, Takao, T, Kitahara, K, Nakahira, S, Baba, H, Watanabe, M, Yamamoto, M & Nakamura, M 2019, 'A multicenter prospective registration study on laparoscopic pancreatectomy in Japan: report on the assessment of 1,429 patients', Journal of Hepato-Biliary-Pancreatic Sciences. https://doi.org/10.1002/jhbp.695
Ohtsuka, Takao ; Nagakawa, Yuichi ; Toyama, Hirochika ; Takeda, Yutaka ; Maeda, Atsuyuki ; Kumamoto, Yusuke ; Nakamura, Yoshiharu ; Hashida, Kazuki ; Honda, Goro ; Fukuzawa, Kengo ; Toyoda, Eiji ; Tanabe, Minoru ; Gotohda, Naoto ; Matsumoto, Ippei ; Ryu, Tomoki ; Uyama, Ichiro ; Kojima, Toru ; Unno, Michiaki ; Ichikawa, Daisuke ; Inoue, Yosuke ; Matsukawa, Hiroyoshi ; Sudo, Takeshi ; Takaori, Kyoichi ; Yamaue, Hiroki ; Eguchi, Susumu ; Tahara, Munenori ; Shinzeki, Makoto ; Eguchi, Hidetoshi ; Kurata, Masanao ; Morimoto, Mamoru ; Hayashi, Hiromitsu ; Marubashi, Shigeru ; Inomata, Masafumi ; Kimura, Kenjiro ; Amaya, Koji ; Sho, Masayuki ; Yoshida, Ryuichi ; Murata, Akihiro ; Yoshitomi, Hideyuki ; Hakamada, Kenichi ; Yasunaga, Masafumi ; Abe, Nobutsugu ; Hioki, Masayoshi ; Tsuchiya, Masaru ; Misawa, Takeyuki ; Seyama, Yasuji ; Noshiro, Hirokazu ; Sakamoto, Eiji ; Hasegawa, Kiyoshi ; Kawabata, Yasunari ; Uchida, Yoichiro ; Kameyama, Shinichiro ; Ko, Saiho ; Takao, Takashi ; Kitahara, Kenji ; Nakahira, Shin ; Baba, Hideo ; Watanabe, Masahiko ; Yamamoto, Masakazu ; Nakamura, Masafumi. / A multicenter prospective registration study on laparoscopic pancreatectomy in Japan : report on the assessment of 1,429 patients. In: Journal of Hepato-Biliary-Pancreatic Sciences. 2019.
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abstract = "Background: Prospective studies are needed to understand the safety and feasibility of laparoscopic pancreatectomy. The aim of the present study was to describe laparoscopic pancreatectomy currently undertaken in Japan, using a prospective registration system. Methods: Patient characteristics and planned operations were registered preoperatively, and then the performed operation and outcomes were reported using an online system. Collected data were also compared between institutions based on their level of experience. This study was registered with UMIN000022836. Results: Available data were obtained from 1,429 patients at 100 Japanese institutions, including 1,197 laparoscopic distal pancreatectomies (LDPs) and 232 laparoscopic pancreatoduodenectomies (LPDs). The rates of completion for planned operations were 92{\%} for LDP and 91{\%} for LPD. Postoperative complication rates after LDP and LPD were 17{\%} and 30{\%}, and 90-day mortality rates were 0.3{\%} and 0.4{\%}, respectively. Shorter operation time, less blood loss, and lower incidence of pancreatic fistula were observed in institutions experienced in LDP. A higher rate of pure laparoscopic procedure and shorter operation time were noted in institutions experienced with LPD. Conclusion: LDPs and LPDs are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy.",
author = "Takao Ohtsuka and Yuichi Nagakawa and Hirochika Toyama and Yutaka Takeda and Atsuyuki Maeda and Yusuke Kumamoto and Yoshiharu Nakamura and Kazuki Hashida and Goro Honda and Kengo Fukuzawa and Eiji Toyoda and Minoru Tanabe and Naoto Gotohda and Ippei Matsumoto and Tomoki Ryu and Ichiro Uyama and Toru Kojima and Michiaki Unno and Daisuke Ichikawa and Yosuke Inoue and Hiroyoshi Matsukawa and Takeshi Sudo and Kyoichi Takaori and Hiroki Yamaue and Susumu Eguchi and Munenori Tahara and Makoto Shinzeki and Hidetoshi Eguchi and Masanao Kurata and Mamoru Morimoto and Hiromitsu Hayashi and Shigeru Marubashi and Masafumi Inomata and Kenjiro Kimura and Koji Amaya and Masayuki Sho and Ryuichi Yoshida and Akihiro Murata and Hideyuki Yoshitomi and Kenichi Hakamada and Masafumi Yasunaga and Nobutsugu Abe and Masayoshi Hioki and Masaru Tsuchiya and Takeyuki Misawa and Yasuji Seyama and Hirokazu Noshiro and Eiji Sakamoto and Kiyoshi Hasegawa and Yasunari Kawabata and Yoichiro Uchida and Shinichiro Kameyama and Saiho Ko and Takashi Takao and Kenji Kitahara and Shin Nakahira and Hideo Baba and Masahiko Watanabe and Masakazu Yamamoto and Masafumi Nakamura",
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T1 - A multicenter prospective registration study on laparoscopic pancreatectomy in Japan

T2 - report on the assessment of 1,429 patients

AU - Ohtsuka, Takao

AU - Nagakawa, Yuichi

AU - Toyama, Hirochika

AU - Takeda, Yutaka

AU - Maeda, Atsuyuki

AU - Kumamoto, Yusuke

AU - Nakamura, Yoshiharu

AU - Hashida, Kazuki

AU - Honda, Goro

AU - Fukuzawa, Kengo

AU - Toyoda, Eiji

AU - Tanabe, Minoru

AU - Gotohda, Naoto

AU - Matsumoto, Ippei

AU - Ryu, Tomoki

AU - Uyama, Ichiro

AU - Kojima, Toru

AU - Unno, Michiaki

AU - Ichikawa, Daisuke

AU - Inoue, Yosuke

AU - Matsukawa, Hiroyoshi

AU - Sudo, Takeshi

AU - Takaori, Kyoichi

AU - Yamaue, Hiroki

AU - Eguchi, Susumu

AU - Tahara, Munenori

AU - Shinzeki, Makoto

AU - Eguchi, Hidetoshi

AU - Kurata, Masanao

AU - Morimoto, Mamoru

AU - Hayashi, Hiromitsu

AU - Marubashi, Shigeru

AU - Inomata, Masafumi

AU - Kimura, Kenjiro

AU - Amaya, Koji

AU - Sho, Masayuki

AU - Yoshida, Ryuichi

AU - Murata, Akihiro

AU - Yoshitomi, Hideyuki

AU - Hakamada, Kenichi

AU - Yasunaga, Masafumi

AU - Abe, Nobutsugu

AU - Hioki, Masayoshi

AU - Tsuchiya, Masaru

AU - Misawa, Takeyuki

AU - Seyama, Yasuji

AU - Noshiro, Hirokazu

AU - Sakamoto, Eiji

AU - Hasegawa, Kiyoshi

AU - Kawabata, Yasunari

AU - Uchida, Yoichiro

AU - Kameyama, Shinichiro

AU - Ko, Saiho

AU - Takao, Takashi

AU - Kitahara, Kenji

AU - Nakahira, Shin

AU - Baba, Hideo

AU - Watanabe, Masahiko

AU - Yamamoto, Masakazu

AU - Nakamura, Masafumi

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Prospective studies are needed to understand the safety and feasibility of laparoscopic pancreatectomy. The aim of the present study was to describe laparoscopic pancreatectomy currently undertaken in Japan, using a prospective registration system. Methods: Patient characteristics and planned operations were registered preoperatively, and then the performed operation and outcomes were reported using an online system. Collected data were also compared between institutions based on their level of experience. This study was registered with UMIN000022836. Results: Available data were obtained from 1,429 patients at 100 Japanese institutions, including 1,197 laparoscopic distal pancreatectomies (LDPs) and 232 laparoscopic pancreatoduodenectomies (LPDs). The rates of completion for planned operations were 92% for LDP and 91% for LPD. Postoperative complication rates after LDP and LPD were 17% and 30%, and 90-day mortality rates were 0.3% and 0.4%, respectively. Shorter operation time, less blood loss, and lower incidence of pancreatic fistula were observed in institutions experienced in LDP. A higher rate of pure laparoscopic procedure and shorter operation time were noted in institutions experienced with LPD. Conclusion: LDPs and LPDs are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy.

AB - Background: Prospective studies are needed to understand the safety and feasibility of laparoscopic pancreatectomy. The aim of the present study was to describe laparoscopic pancreatectomy currently undertaken in Japan, using a prospective registration system. Methods: Patient characteristics and planned operations were registered preoperatively, and then the performed operation and outcomes were reported using an online system. Collected data were also compared between institutions based on their level of experience. This study was registered with UMIN000022836. Results: Available data were obtained from 1,429 patients at 100 Japanese institutions, including 1,197 laparoscopic distal pancreatectomies (LDPs) and 232 laparoscopic pancreatoduodenectomies (LPDs). The rates of completion for planned operations were 92% for LDP and 91% for LPD. Postoperative complication rates after LDP and LPD were 17% and 30%, and 90-day mortality rates were 0.3% and 0.4%, respectively. Shorter operation time, less blood loss, and lower incidence of pancreatic fistula were observed in institutions experienced in LDP. A higher rate of pure laparoscopic procedure and shorter operation time were noted in institutions experienced with LPD. Conclusion: LDPs and LPDs are performed safely in Japan, especially in experienced institutions. Our data could support the next challenges in the field of laparoscopic pancreatectomy.

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