Article
Surgery
Hyeong Seok Kim, Hongbeom Kim, Wooil Kwon, Youngmin Han, Yoonhyeong Byun, Jae Seung Kang, Yoo Jin Choi, Jin-Young Jang
Summary: The study shows that robot-assisted minimally invasive pancreatoduodenectomy has better or at least similar outcomes compared to open surgery, with longer operation time but similar complication rates. It is safe, feasible, and enables early postoperative recovery, and is expected to play a key role in the near future.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Sanne Lof, Linda Claassen, Gerjon Hannink, Bilal Al-Sarireh, Bergthor Bjornsson, Ugo Boggi, Fernando Burdio, Giovanni Butturini, Giovanni Capretti, Riccardo Casadei, Safi Dokmak, Bjorn Edwin, Alessandro Esposito, Jean M. Fabre, Giovanni Ferrari, Asmund A. Fretland, Fadhel S. Fteriche, Giuseppe K. Fusai, Alessandro Giardino, Bas Groot Koerkamp, Mathieu D'Hondt, Asif Jah, Sivesh K. Kamarajah, Emanuele F. Kauffmann, Tobias Keck, Stijn van Laarhoven, Alberto Manzoni, Marco V. Marino, Ravi Marudanayagam, Izaak Q. Molenaar, Patrick Pessaux, Edoardo Rosso, Roberto Salvia, Zahir Soonawalla, Regis Souche, Steven White, Frans van Workum, Alessandro Zerbi, Camiel Rosman, Martijn W. J. Stommel, Mohammed Abu Hilal, Marc G. Besselink
Summary: Understanding the learning curve of MIDP is important in reducing patient harm. This multicenter study analyzed data from 26 European centers to evaluate the length of the learning curve. The findings suggest that 85 procedures are needed to achieve optimal outcomes, while earlier mastery can be achieved for conversion rate, operation time, and intraoperative blood loss.
Article
Surgery
Dawn Jung, Hassaan Bari, Ho Kyoung Hwang, Woo Jung Lee, Chang Moo Kang
Summary: This study compares the short-term and long-term outcomes of minimally invasive central pancreatectomy (MI-CP) and minimally invasive spleen-preserving subtotal distal pancreatectomy (MI-SpSTDP). It found that MI-CP is safe and effective in preserving endocrine and exocrine functions in the treatment of benign or borderline tumors located at the neck or proximal body of the pancreas.
ASIAN JOURNAL OF SURGERY
(2023)
Review
Oncology
Bas A. Uijterwijk, Kongyuan Wei, Meidai Kasai, Benedetto Ielpo, Jony van Hilst, Palanivelu Chinnusamy, Daniel H. L. Lemmers, Fernando Burdio, Palanisamy Senthilnathan, Marc G. Besselink, Mohammed Abu Hilal, Renyi Qin
Summary: This study compared the oncological and surgical outcomes of minimally invasive pancreatoduodenectomy (MIPD) and open pancreatoduodenectomy (OPD) in patients with resectable pancreatic ductal adenocarcinoma (PDAC). The results showed that MIPD was non-inferior to OPD in terms of radicality, lymph node yield, major complications, and 90-day mortality. MIPD also had advantages in terms of blood loss, hospital stay, and operation time. These findings suggest that MIPD is a viable alternative to traditional surgery.
Article
Surgery
Nicky van der Heijde, Sanne Lof, Olivier R. Busch, Ignace de Hingh, Ruben H. de Kleine, I. Quintus Molenaar, Timothy H. Mungroop, Martijn W. Stommel, Marc G. Besselink, Casper van Eijck
Summary: In this study, it was found that the incidence of postoperative pancreatic fistula was higher after minimally invasive distal pancreatectomy compared to open distal pancreatectomy, but the clinical impact was less significant.
Article
Surgery
Ahmed M. Ali, Katelynn C. Bachman, Stephanie G. Worrell, Kelsey E. Gray, Yaron Perry, Philip A. Linden, Christopher W. Towe
Summary: While RMIE and tMIE showed no difference in 90-day mortality and readmission rates, RMIE demonstrated better outcomes in terms of positive surgical margins, number of lymph nodes evaluated, and conversion to open rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Review
Chemistry, Multidisciplinary
Peipei Yang, Xin Zhi, Yunxue Xu, Linxue Qian, Zhifei Dai
Summary: Pancreatic carcinoma (PCa) is a highly lethal malignant tumor with limited treatment options. Nanoparticles have been introduced as a medium or carrier to focus energy at the tumor site and minimize side effects. The combination of nanomedicine and minimally invasive techniques provides a new opportunity for the treatment of PCa.
Article
Robotics
Izadyar Tamadon, S. M. Hadi Sadati, Virginia Mamone, Vincenzo Ferrari, Christos Bergeles, Arianna Menciassi
Summary: This article presents the application of the Valve Tech robotic platform in aortic valve surgery, achieving accurate delivery and positioning of artificial valves through teleoperation and endoscopic vision. The authors propose a force observer and a hybrid force/shape observer algorithm, and demonstrate their effectiveness through experiments.
IEEE TRANSACTIONS ON ROBOTICS
(2023)
Article
Oncology
Ke Zong, Kai Luo, Kunlun Chen, Jianwen Ye, Wentao Liu, Wenlong Zhai
Summary: This retrospective study compared the short-term benefits of robotic surgery and laparoscopic surgery in the perioperative period of minimally invasive pancreatoduodenectomy. The results showed that robotic surgery had advantages over laparoscopic surgery in terms of reduced operation time and postoperative length of stay, technical feasibility, and safety.
FRONTIERS IN ONCOLOGY
(2022)
Article
Surgery
Anouk M. L. H. Emmen, B. Gorgec, M. J. W. Zwart, F. Daams, J. Erdmann, S. Festen, D. J. Gouma, T. M. van Gulik, J. van Hilst, G. Kazemier, S. Lof, S. Sussenbach, P. J. Tanis, B. M. Zonderhuis, O. R. Busch, R. J. Swijnenburg, M. G. Besselink
Summary: This study assessed the safety and feasibility of robot-assisted laparoscopic hepato-pancreato-biliary surgery. The results showed that the introduction of robotic surgery increased the utilization of laparoscopic HPB surgery and improved some selected outcomes, but had no significant impact on mortality and major complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Lianne Scholten, Sjors Klompmaker, Jony Van Hilst, Mario M. Annecchiarico, Gianpaolo Balzano, Riccardo Casadei, Jean-Michel Fabre, Massimo Falconi, Giovanni Ferrari, Mustafa Kerem, Igor E. Khatkov, Carlo Lombardo, Alberto Manzoni, Michele Mazzola, Niccolo Napoli, Edoardo E. Rosso, Pavel Tyutyunnik, Ulrich F. Wellner, David Fuks, Fernando Burdio, Tobias Keck, Mohammed Abu Hilal, Marc G. Besselink, Ugo Boggi
Summary: This multicenter retrospective study suggests that minimally invasive total pancreatectomy may be a valuable alternative to open total pancreatectomy, given the associated lower rate of major morbidity.
Article
Surgery
Sjors Klompmaker, Thijs de Rooij, Bas Groot Koerkamp, Anuraj H. Shankar, Uwe Siebert, Marc G. Besselink, A. James Moser
Summary: This study demonstrated that minimally invasive distal pancreatectomy is associated with a significant reduction in major morbidity compared to open distal pancreatectomy, with a linear decrease in postoperative complications as the rate of minimally invasive surgeries increased. The nationwide risk reduction for composite major morbidity after minimally invasive distal pancreatectomy is estimated to be 11% and is expected to improve further with decreasing conversion rates. These findings support the outcomes of recent LEOPARD RCT.
Article
Surgery
Feng Tian, Meng-qing Sun, Jun Lu, Jun-chao Guo
Summary: Shoulder pancreatic cancer is a clinically significant malignancy with specific anatomical challenges. The retrograde artery first approach in minimally invasive distal pancreatectomy has shown promising results in achieving radical resection with minimal complications. More evidence is needed to further validate its safety and efficacy in the future.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Karina W. Lo, David N. Blitzer, Sami Shoucair, David M. Lisle
Summary: This study describes the experience with robot-assisted transanal minimally invasive surgery (rTAMIS) at a single institution. rTAMIS is a safe alternative to laparoscopic TAMIS for the resection of appropriate rectal polyps and early rectal cancers, providing curative treatment with high success rates. Future studies should compare outcomes between robotic and laparoscopic TAMIS to determine if rTAMIS allows for the removal of larger, more complex lesions.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Oncology
Nicolas H. Dreifuss, Antonio Cubisino, Francisco Schlottmann, Pier C. Giulianotti
Summary: This study describes the operative technique and perioperative outcomes of robotic central pancreatectomy (RCP). Six patients underwent RCP with low operative time, low blood loss, and short hospital stay. Follow-up showed no new onset diabetes or exocrine insufficiency.
SURGICAL ONCOLOGY-OXFORD
(2022)