Article
Medicine, General & Internal
Halit Topal, Raymond Aerts, Annouschka Laenen, Andre Collignon, Joris Jaekers, Joachim Geers, Baki Topal
Summary: A comparative study of 396 patients with pancreatic adenocarcinoma found that minimally invasive pancreatic surgery (MIPS) was associated with better long-term overall survival (OS) and disease-free survival (DFS) compared to open pancreatic surgery (OPS).
Article
Oncology
Jony van Hilst, Nine de Graaf, Mohammad Abu Hilal, Marc G. Besselink
Summary: Minimally invasive pancreatic surgeries are becoming more common, but further research is needed to evaluate their safety and efficacy, especially in pancreatoduodenectomy. Studies have shown advantages of minimally invasive distal pancreatectomy in terms of shorter hospital stay and less intraoperative blood loss, while minimally invasive pancreatoduodenectomy does not present clear superiority over open approaches.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Gastroenterology & Hepatology
Michael D. Williams, Anuradha R. Bhama, Samer Naffouje, Sivesh K. Kamarajah, Adan Z. Becerra, Yanyu Zhang, Sam G. Pappas, Fadi S. Dahdaleh
Summary: This study evaluated the impact of operative time on outcomes in different approaches to pancreaticoduodenectomy (PD). The results showed that increased operative time was associated with inferior outcomes regardless of the approach. When comparing operative time quartiles, minimally invasive approaches, including laparoscopic and robotic-assisted surgeries, had lower overall morbidity compared to open surgery. However, prolonged operative time in minimally invasive surgeries was associated with higher mortality rates.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Oncology
Benedetto Ielpo, Alessandro Anselmo, Yoshio Masuda, Mark Yeo Hao Xuan, Fernando Burdio, Vito De Blasi, Patricia Sanchez-Velazquez, Antonio Giuliani, Juan Santiago Azagra, Giuseppe Massimiliano Viola, Mauro Podda, Gianluca Pellino, Edoardo Rosso
Summary: This article introduces the superior mesenteric artery first approach in minimally invasive pancreaticoduodenectomy, and describes five different minimally invasive surgical methods. With the guidance provided, surgeons can choose the appropriate approach based on tumor location, type of minimally invasive surgery, and their own experience, thereby increasing familiarity with this complex procedure.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Benedetto Ielpo, Alessandro Anselmo, Yoshio Masuda, Mark Yeo Hao Xuan, Fernando Burdio, Vito De Blasi, Patricia Sanchez-Velazquez, Antonio Giuliani, Juan Santiago Azagra, Giuseppe Massimiliano Viola, Mauro Podda, Gianluca Pellino, Edoardo Rosso
Summary: This article describes the superior mesenteric artery first approach in minimally invasive pancreaticoduodenectomy, including five different minimally invasive approaches. For the first time, a comprehensive step-by-step overview of this approach is provided by a team of expert surgeons from various international institutions. The article aims to guide the choice of approach based on tumor location, type of minimally invasive approach, and the surgeon's experience, and increase familiarity with this complex procedure.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Patrick J. Sweigert, Xuanji Wang, Emanuel Eguia, Marshall S. Baker, Sujay Kulshrestha, Diamantis Tsilimigras, Aslam Ejaz, Timothy M. Pawlik
Summary: This study aimed to investigate the impact of minimally invasive pancreaticoduodenectomy on textbook oncologic outcomes. The results showed no significant difference in textbook oncologic outcomes between minimally invasive and open surgeries, and textbook oncologic outcomes were associated with patient overall survival.
Article
Gastroenterology & Hepatology
Eliza W. Beal, Djhenne Dalmacy, Alessandro Paro, J. Madison Hyer, Jordan Cloyd, Mary Dillhoff, Aslam Ejaz, Timothy M. Pawlik
Summary: This study compared minimally invasive pancreaticoduodenectomy (PD) with open PD for pancreatic cancer resection in terms of short-term, long-term, and oncologic outcomes. The results showed that minimally invasive PD may be preferable to open PD based on a composite outcome that considered these factors.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Surgery
Rui Sun, Jiawen Yu, Yifan Zhang, Zhika Liang, Xianlin Han
Summary: Through a meta-analysis, it was found that minimally invasive pancreaticoduodenectomy provides similar or improved perioperative, short-term, and long-term oncological outcomes compared to open pancreaticoduodenectomy in patients with pancreatic ductal adenocarcinoma.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Surgery
Sivesh K. Kamarajah, Mohammed Abu Hilal, Steven A. White
Summary: The study found that minimally invasive pancreatoduodenectomy is noninferior to open pancreatoduodenectomy in terms of grade B/C postoperative pancreatic fistula, but is strongly associated with significantly lower rates of postoperative pulmonary complications and surgical site infection, achieving good outcomes regardless of annual center resection volume.
Article
Surgery
Woohyung Lee, Ki Byung Song, Sarang Hong, Yejong Park, Bong Jun Kwak, Eunsung Jun, Dae Wook Hwang, Sehee Kim, Jae Hoon Lee, Song Cheol Kim
Summary: This study compared the surgical and oncologic outcomes of open pancreaticoduodenectomy (OPD) and minimally invasive pancreaticoduodenectomy (MIPD) in patients with distal bile duct cancer. The results showed that MIPD and OPD groups had similar postoperative and oncologic outcomes, suggesting that MIPD is a feasible treatment option in high-volume centers.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
F. Klevebro, J. H. Kauppila, S. Markar, A. Johar, P. Lagergren
Summary: This study investigated the longitudinal effects of minimally invasive compared with open oesophagectomy on health-related quality of life (HRQoL) in patients with oesophageal cancer in Sweden. The results showed that there were no significant differences in HRQoL between minimally invasive and open surgical techniques.
BRITISH JOURNAL OF SURGERY
(2021)
Review
Oncology
Jason L. Schwarz, Melissa E. Hogg
Summary: The growth of minimally invasive pancreatic surgery has led to an increase in evidence-based data for analyzing patient outcomes. Studies have shown both similarities and differences between MIPS and open surgeries, but there are still many questions that need to be answered. This review highlights the available literature and emphasizes key factors for evaluating laparoscopic and robotic pancreatic surgery.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Matthias Pfister, Pascal Probst, Philip C. Mueller, Pia Antony, Rosa Klotz, Eva Kalkum, Daniela Merz, Pietro Renzulli, Fabian Hauswirth, Markus K. Muller
Summary: This systematic review and meta-analysis provides level 1 evidence for the comparison between minimally invasive and open pancreatic surgery. Minimally invasive surgery appears to be feasible and safe, with comparable morbidity rates and reduced length of hospital stay and intraoperative blood loss. However, longer duration of surgery was observed in partial pancreatoduodenectomy using minimally invasive approach.
Review
Gastroenterology & Hepatology
Ying-Wen Gai, Huai-Tao Wang, Xiao-Dong Tan
Summary: This review describes several modified pancreaticojejunostomy techniques developed based on the concept of biological healing, suitable for minimally invasive surgery, with the advantages of a simplified procedure and a lower incidence of pancreatic fistula.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Oncology
Patricia C. Conroy, Lucia Calthorpe, Joseph A. Lin, Sarah Mohamedaly, Alex Kim, Kenzo Hirose, Eric Nakakura, Carlos Corvera, Julie Ann Sosa, Ankit Sarin, Kimberly S. Kirkwood, Adnan Alseidi, Mohamed A. Adam
Summary: Analysis of the data revealed that performing at least 20 MIPD cases annually can lower postoperative mortality, with the majority of surgeries being conducted in low-volume centers. Additionally, patients in low-volume centers had higher postoperative mortality rates compared to those in high-volume centers.
ANNALS OF SURGICAL ONCOLOGY
(2022)