Laparoscopic Versus Open Distal Pancreatectomy: Comparative Analysis of Clinical Outcomes at a Single Institution

Jarufe, Nicolás; Soto, Pedro; Ahumada, Vanessa; Pacheco, Sergio; Salinas, José; J, Galindo; Bächler, Jean-Phillipe; Achurra, Pablo; Rebolledo, R.; Guerra, Juan Francisco; Briceño, Eduardo; Martínez, Jorge

doi:10.1097/sle.0000000000000494

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…1]. Twenty-one studies compared RDP to LDP, fourteen studies compared LDP to ODP, [38][39][40][41][42][43][44][45][46][47][48][49][50][51] four studies were three arm RDP, LDP and ODP 17,21,24,32 and one compared RDP to ODP. 52 The total sample of the present study consisted of both benign and malignant tumours, because the included studies, included combined data for benign and malignant tumours.…”

Section: Resultsmentioning

confidence: 99%

Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis

Gavriilidis

Roberts

Sutcliffe

2019

HPB

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Introduction:The current evidence comparing oncological adequacy and effectiveness of robotic and laparoscopic distal pancreatectomy to open distal pancreatectomy for pancreatic adenocarcinoma is inconclusive. Recent pairwise meta-analyses demonstrated reduced blood loss and length of stay as the principal advantages of RDP and LDP compared to ODP.The aim of this study was to compare the three approaches to distal pancreatectomy conducting a pairwise meta-analysis and consequently network meta-analysis. Methods: A systematic literature search was performed using the databases, EMBASE, Pubmed, the Cochrane library, and Google Scholar. Meta-analyses were performed using both fixed-effect and random-effect models.Results: RDP cohort represented only 11% of the total sample; significantly younger patients with smaller size tumours were included in the RDP and LDP cohorts compared to ODP cohort. Significantly less blood loss and shorter length of stay were the advantages of both RDP and LDP compared to ODP.The ODP cohort included significantly more specimens with positive resection margins compared to RDP and LDP cohorts. Discussion: The results of the present study demonstrate that reduced blood losses and shorter length of stay are the advantages of RDP and LDP compared to ODP. However, demographic discrepancies, underpowered RDP sample and differences in oncological burden do not permit certain conclusions regarding the oncological safety of RDP and LDP for pancreatic adenocarcinoma.

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Section: Resultsmentioning

confidence: 99%

Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis

Gavriilidis

Roberts

Sutcliffe

2019

HPB

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“…As a standard surgical method for the treatment of benign and malignant diseases of the body and tail of the pancreas, the development of distal pancreatectomy has experienced laparotomy, laparoscopy, and robot surgery. Previous investigations indicate that LDP has a shorter length of stay, less blood loss, less pain, earlier oral intake, and faster recovery in comparison with open distal pancreatectomy (19)(20)(21). As a result of the robotic system providing better visualization and reducing natural tremors, many researchers believe that robotic surgery system can conquer the technical limitations of LDP and thus potentially provide better oncological outcomes.…”

Section: Discussionmentioning

confidence: 99%

Robotic Versus Laparoscopic Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis

et al. 2021

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BackgroundRobotic distal pancreatectomy (RDP) and laparoscopic distal pancreatectomy (LDP) are the two principal minimally invasive surgical approaches for patients with pancreatic body and tail adenocarcinoma. The use of RDP and LDP for pancreatic ductal adenocarcinoma (PDAC) remains controversial, and which one can provide a better R0 rate is not clear.MethodsA comprehensive search for studies that compared robotic versus laparoscopic distal pancreatectomy for PDAC published until July 31, 2021, was conducted. Data on perioperative outcomes and oncologic outcomes (R0-resection and lymph node dissection) were subjected to meta-analysis. PubMed, Cochrane Central Register, Web of Science, and EMBASE were searched based on a defined search strategy to identify eligible studies before July 2021.ResultsSix retrospective studies comprising 572 patients (152 and 420 patients underwent RDP and LDP) were included. The present meta-analysis showed that there were no significant differences in operative time, tumor size, and lymph node dissection between RDP and LDP group. Nevertheless, compared with the LDP group, RDP results seem to demonstrate a possibility in higher R0 resection rate (p<0.0001).ConclusionsThis systematic review and meta-analysis suggest that RDP is a technically and oncologically safe and feasible approach for selected PDAC patients. Large randomized and controlled prospective studies are needed to confirm this data.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier [CRD42021269353].

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Assessment of laparoscopic versus open distal pancreatectomy: a systematic review and meta-analysis

Lyu

Cheng

Wang

et al. 2020

Minimally Invasive Therapy & Allied Technologies

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Laparoscopic Versus Open Distal Pancreatectomy: Comparative Analysis of Clinical Outcomes at a Single Institution

Abstract: LDP is a safe and feasible procedure for DP resections. LDP offers advantages over ODP in terms of reduction of operative blood loss, higher spleen preservation rate, and shorter hospital stay.

Cited by 6 publications

References 27 publications

Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis

Comparison of robotic vs laparoscopic vs open distal pancreatectomy. A systematic review and network meta-analysis

Robotic Versus Laparoscopic Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis

Assessment of laparoscopic versus open distal pancreatectomy: a systematic review and meta-analysis

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