The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Comparison of perioperative outcomes between laparoscopic and open approach for pancreatoduodenectomy: the PADULAP randomized controlled trial. Ann Surg 2018; 268: 731-739.

Published: 6th February 2019

Authors: Poves I, Burdío F, Morató O, Iglesias M, Radosevic A, Ilzarbe L et al.


Conversion to open surgery was needed in 8/34 laparoscopic procedures. The laparoscopic approach took longer (median 486 vs 365 min, P=0.0001), but complications were fewer (P=0.04) and duration of hospital stay was shorter (median 13.5 versus 17 days, P=0.024) in this study of 66 procedures.

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