Minimally invasive (laparoscopic and robot‐assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single‐center experience

Kang, Chang Moo; Choi, Sung Hoon; Hwang, Ho Kyoung; Lee, Woo Jung; Hoon, Sang

doi:10.1007/s00534-010-0316-y

Cited by 28 publications

(19 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since its first application by Melvin [24], the robotic approach was seen as a particularly suitable approach for an operation where a meticulous and bloodless dissection was crucial, thus potentially broadening the indication for RDP [25,26]. The increase in the number of published series of RDP confirms the safety and feasibility of this approach and highlights the increasing interest of the surgical community in its utilization, which can potentially overcome the potential drawbacks of LDP [10,27].…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center

et al. 2019

View full text Add to dashboard Cite

Background: Laparoscopic distal pancreatectomy (LDP) has been adopted relatively slowly despite the benefits of minimally invasive approach. The robotic approach can overcome the limitations of LDP, thus increasing the acceptance of minimally invasive distal pancreatectomy. Methods: We performed a 1: 1 retrospective case-matched comparison among 2 groups of 35 patients who underwent robotic-assisted distal pancreatectomy (RDP) or LDP from August 2014 to April 2017. Results: The operative time was similar in both groups (230 RDP vs. 205 LDP min, p = 0.382). The robotic group had a lower estimated blood loss (95 vs. 275 mL, p = 0.035). The spleen preservation rate was higher in the RDP group (100 vs. 66.7%, p = 0.027), while the conversion rate to open surgery was higher in the laparoscopic group (14.3 vs. 2.9%, p = 0.048). The overall complication rate was lower in the robotic group (25.7 vs. 37.1%, p = 0.044). There was no statistically significant difference in oncologic outcomes between the groups in terms of R0 resection rate (100% RDP vs. 85% LDP, p = 0.233) and number of harvested lymph nodes (14.4 RDP vs. 10.8 LDP, p = 0.678). Conclusions: The RDP showed a lower estimated blood loss, conversion, and morbidity rate. It offered a higher spleen preservation rate in comparison to LDP while maintaining comparable oncologic outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Kang et al . reported perioperative surgical outcomes in 11 cases with SPN who underwent laparoscopic/robotic‐assisted surgery as follows : mean operative time, 339 min; mean blood loss, 410 mL; pancreatic fistula of grade B or C, 3 of 11 cases (27.3%); and length of hospital stay, 9.7 days. The short‐term results of our 14 consecutive laparoscopic pancreatectomies for SPN were not inferior to the outcomes of the series by either Morikawa et al .…”

Section: Discussionmentioning

confidence: 99%

“…Kang et al . reported an earlier oral intake, a shorter hospital stay, and no increase in morbidity over a short‐term follow‐up in 11 patients who underwent laparoscopic/robotic‐assisted surgery (Lap‐SDP , n = 5; Lap‐SPDP, n = 6, including 3 who underwent a pancreatic tail‐preserving procedure) compared with an open surgery group . Zhang et al .…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes for 14 consecutive patients with solid pseudopapillary neoplasms who underwent laparoscopic distal pancreatectomy

Nakamura

Matsushita

Katsuno

et al. 2015

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…Laparoscopic excision of the SPT is safe, feasible, more appropriate, and preferable to conventional open surgeries for these tumors in the pancreatic tail. 5,30–32 It has well-documented advantages as compared with open surgery. In this study all patients were treated with laparoscopic resections because we have not been performing open surgery for the isolated lesions in the corpus and the cauda of the pancreas since the introduction of laparoscopic pancreatic resections at our institution.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas

Afridi

Kazaryan

Marangos

et al. 2014

JSLS

View full text Add to dashboard Cite

Background and Objectives:Solid pseudopapillary tumors of the pancreas are rare and occur most frequently in young women. They have an uncertain pathogenesis and unclear clinical behavior. Our aim was to evaluate the clinical presentation of solid pseudopapillary tumors and assess the efficacy of treatment with minimally invasive surgery.Methods:From March 1997 to February 2011, 13 of 273 patients who underwent laparoscopic procedures on the pancreas were found to have solid pseudopapillary tumors. There were 12 female patients and 1 male patient. The median age was 21 years (range, 15–77 years). Abdominal pain was the most common presenting symptom (n = 9). Tumors were incidentally found in 3 patients on computed tomography scans obtained for other reasons.Results:Enucleation of the tumor was performed in 4 patients, including 3 in whom the tumor was located in the head of the pancreas. Eight patients underwent distal pancreatectomy with splenectomy, whereas spleen-preserving distal pancreatectomy was performed in one case. The median tumor size was 6 cm (range, 1.5–11 cm), the median operative time was 197 minutes (range, 68–320 minutes), and the median blood loss was 50 mL (range, <50–750 mL). Distal resections were performed with a linear stapler. Four patients had postoperative complications. The median length of hospital stay was 5 days (range, 2–12 days). During a median follow-up period of 11 months (range, 3–121 months), no local recurrences or distant metastases were found.Conclusion:Laparoscopic resections and enucleations of solid pseudopapillary tumors of the pancreas can be performed safely and with adequate resection margins even if the tumors are located in the head of the organ.

show abstract

Minimally invasive (laparoscopic and robot‐assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single‐center experience

Abstract: A minimally invasive (laparoscopic/robot-assisted) approach for SPT of the distal pancreas is thought to be more appropriate than and preferable to conventional open surgery in well-selected patients.

Cited by 28 publications

References 25 publications

Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center

Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center

Clinical outcomes for 14 consecutive patients with solid pseudopapillary neoplasms who underwent laparoscopic distal pancreatectomy

Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas

Contact Info

Product

Resources

About