Laparoscopic versus open distal pancreatectomy for pancreatic cancer

Riviere, Deniece; Gurusamy, Kurinchi Selvan; Kooby, David A.; Vollmer, Charles M.; Besselink, Marc G.; Davidson, Brian R; Laarhoven, Cornelis J. H. M. van

doi:10.1002/14651858.cd011391.pub2

Cited by 111 publications

(114 citation statements)

References 94 publications

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“…The best available experience from observational studies with regard to oncological outcomes has demonstrated that the laparoscopic and open approaches to distal pancreatectomy have comparable ability to achieve negative margins, lymph node retrieval, and recurrence and survival rates. However, a recent meta‐analysis of these studies found this evidence to be of low quality and with a high risk of bias.…”

Section: Introductionmentioning

confidence: 99%

Propensity score-matched comparison of oncological outcomes between laparoscopic and open distal pancreatic resection

Raoof

Ituarte

Woo

et al. 2018

British Journal of Surgery

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Section: Introductionmentioning

confidence: 99%

Propensity score-matched comparison of oncological outcomes between laparoscopic and open distal pancreatic resection

Raoof

Ituarte

Woo

et al. 2018

British Journal of Surgery

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“…Unfortunately, no randomized controlled trials (RCTs) comparing the two approaches are available, and all favourable results are reported in retrospective cohortlike or case-control studies. [17] Our retrospective analysis was performed on a series of well-matched patients, with comparable demographics and similar histologic findings [ Table 1]. In our experience, pancreatic NET and cystic tumours were the main result at definitive histology, and a distal minimally invasive pancreatic resection was the surgical approach of choice for such indolent malignancies.…”

Section: Discussionmentioning

confidence: 99%

“…Very recently, a Cochrane review found that mean LoS was shorter by 2.43 days in the minimally invasive group compared with the open surgery group. [17] Hospital stay is considered an important evaluation index in laparoscopic surgery. Thus, our finding is interesting and probably related to the implementation of ERAS protocol, with earlier weaning from i.v.…”

Section: Discussionmentioning

confidence: 99%

Mini-invasive distal pancreatectomy: a feasible and cost-effective technique

Basso¹,

Maffeis²,

Lumachi³

et al. 2017

MIS

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Aim: Laparoscopic pancreatic surgery is a minimally invasive technique that has been widely applied only in the past decade. The purpose of this study was to evaluate its safety and assess whether laparoscopic distal pancreatectomy (LDP) is cost-effective compared with open distal pancreatectomy (ODP). Methods: The medical records of patients treated for leftsided pancreatic lesions were retrospectively analysed, and the analysis of costs for hospital stay, operative time, and equipment were analysed. Twelve patients underwent LDP, while 12 patients underwent ODP. Results: The two groups were homogeneous according to age, ASA score, BMI, and distribution of pathological findings. Both the size of the specimen (5.33 ± 3.2 vs. 5.58 ± 2.57 cm) and the number of removed lymph nodes (10.5 ± 4.3 vs. 12.1 ± 3.1) did not differ. Although LDP required a longer operative time (197.5 ± 33.7 vs. 122.5 ± 35.4 min), intraoperative bleeding, postoperative pain intensity (measured by VAS scale) and hospital stay were significantly reduced. Conclusion: The mini-invasive approach offers several advantages compared with open surgery, including a significant reduction of blood loss and postoperative pain, and an earlier recovery. The global costs of laparoscopic surgery should be carefully re-evaluated, considering the saving that arises from these advantages. Key words:Mini-invasive, distal pancreatectomy, laparoscopy, cost ABSTRACTArticle history:

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“…Apart from distal pancreatectomy and enucleation, minimally invasive pancreatic surgery, including robot-assisted surgery, has not yet gained widespread acceptance in the surgical community around the world. It is associated with reduced morbidity, enhanced postoperative recovery, and shorter hospital stay [2,3,4]; however, recent studies also found that its widespread use can also increase morbidity and mortality [5]. Thus, more widespread use of minimally invasive pancreatoduodenectomy requires structured training programs.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery of Pancreatic Cancer: Feasibility and Rationale

Bausch

Keck

2018

Visc Med

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Minimally invasive pancreatic procedures, in particular minimally invasive pancreaticoduodenectomy, are amongst the most technically challenging procedures in general surgery. Accordingly, a high number of cases is required to master the procedures. Minimally invasive pancreatic surgery is well established for benign and premalignant lesions of the pancreas. Borderline resectable tumors with infiltration of the portal vein are also resected minimally invasively in specialized centers with appropriate expertise. Retrospective and registry studies demonstrate an equivalent long-term survival compared to conventional surgery. Perioperative morbidity and mortality are also equivalent, whereas minimally invasive surgery significantly reduces hospital stay. We expect more widespread use of minimally invasive pancreatic procedures in large centers.

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Laparoscopic versus open distal pancreatectomy for pancreatic cancer

Abstract: Background

Cited by 111 publications

References 94 publications

Propensity score-matched comparison of oncological outcomes between laparoscopic and open distal pancreatic resection

Propensity score-matched comparison of oncological outcomes between laparoscopic and open distal pancreatic resection

Mini-invasive distal pancreatectomy: a feasible and cost-effective technique

Minimally Invasive Surgery of Pancreatic Cancer: Feasibility and Rationale

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