Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Heijde, Nicky van der; Vissers, F.; Manzoni, Alberto; Zimmitti, Giuseppe; Balsells, J.; Berrevoet, Frederik; Björnsson, Bergþór; Boezem, Peter van den; Boggi, Ugo; Bratlie, Svein Olav; Burdı́o, Fernando; Coratti, Andrea; D’Hondt, Mathieu; Pozo, Carlos Domingo del; Dokmak, Safi; Fara, Régis; Can, Mehmet Fatih; Festen, Sebastiaan; Forgione, Antonello; Fristrup, Claus Wilki; Gaujoux, Sébastien; Koerkamp, B. Groot; Hackert, Thilo; Khatkov, Igor; Keck, Tobias; Seppänen, Hanna; Lips, Daan J.; Luyer, Misha; Pittau, Gabriella; Maglione, Manuel; Molenaar, I. Quintus; Pessaux, Patrick; Roeyen, Geert; Saint‐Marc, Olivier; Sánchez‐Cabús, Santiago; Santvoort, Hjalmar van; Schelling, George van der; Martín, Mario Serradilla; Souche, Régis; Muñóz, Miguel Ángel Suárez; Marino, Marco Vito; Besselink, Marc G.; Hilal, Mohammed Abu; Vilhav, Caroline; Hartman, V.; Kirkegård, Jakob; Sergeant, Gregory; Kleeff, Jörg; Coolsen, Mariëlle M.E.; Coppola, Roberto; Pauletti, Bruno; Mittermair, Christof; Tingstedt, Bobby; Erkan, Mert; Tomažič, Aleš; Korkolis, Dimitris P.

doi:10.1016/j.hpb.2022.07.015

Cited by 12 publications

(5 citation statements)

References 29 publications

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“…Third, most patients in both data sets underwent open surgery, and a subgroup analysis of open and minimally invasive pancreatic surgery is therefore lacking. As minimally invasive pancreatoduodenectomy is more commonly performed, future studies will need to validate the usefulness of the model in such patients for future applications 18 . Fourth, manual undersampling was used to create more equally sized groups based on the presence or absence of CR-POPF.…”

Section: Discussionmentioning

confidence: 99%

Radiomics preoperative-Fistula Risk Score (RAD-FRS) for pancreatoduodenectomy: development and external validation

Ingwersen,

Bereska,

Balduzzi

et al. 2023

BJS Open

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Background Accurately predicting the risk of clinically relevant postoperative pancreatic fistula after pancreatoduodenectomy before surgery may assist surgeons in making more informed treatment decisions and improved patient counselling. The aim was to evaluate the predictive accuracy of a radiomics-based preoperative-Fistula Risk Score (RAD-FRS) for clinically relevant postoperative pancreatic fistula. Methods Radiomic features were derived from preoperative CT scans from adult patients after pancreatoduodenectomy at a single centre in the Netherlands (Amsterdam, 2013–2018) to develop the radiomics-based preoperative-Fistula Risk Score. Extracted radiomic features were analysed with four machine learning classifiers. The model was externally validated in a single centre in Italy (Verona, 2020–2021). The radiomics-based preoperative-Fistula Risk Score was compared with the Fistula Risk Score and the updated alternative Fistula Risk Score. Results Overall, 359 patients underwent a pancreatoduodenectomy, of whom 89 (25 per cent) developed a clinically relevant postoperative pancreatic fistula. The radiomics-based preoperative-Fistula Risk Score model was developed using CT scans of 118 patients, of which three radiomic features were included in the random forest model, and externally validated in 57 patients. The model performed well with an area under the curve of 0.90 (95 per cent c.i. 0.71 to 0.99) and 0.81 (95 per cent c.i. 0.69 to 0.92) in the Amsterdam test set and Verona data set respectively. The radiomics-based preoperative-Fistula Risk Score performed similarly to the Fistula Risk Score (area under the curve 0.79) and updated alternative Fistula Risk Score (area under the curve 0.79). Conclusion The radiomics-based preoperative-Fistula Risk Score, which uses only preoperative CT features, is a new and promising radiomics-based score that has the potential to be integrated with hospital CT report systems and improve patient counselling before surgery. The model with underlying code is readily available via www.pancreascalculator.com and www.github.com/PHAIR-Consortium/POPF-predictor.

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Section: Discussionmentioning

confidence: 99%

Radiomics preoperative-Fistula Risk Score (RAD-FRS) for pancreatoduodenectomy: development and external validation

Ingwersen,

Bereska,

Balduzzi

et al. 2023

BJS Open

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“…The European Consortium on Minimally Invasive Pancreatic Surgery registry, which aims to collect data on all minimally invasive pancreatic surgery in low and high volume centers across Europe to monitor both volume and postoperative outcomes after minimally invasive pancreatic surgery, reported that median volume of MIDP in 54 centers in 15 countries was 10 cases per year. 8 Based on this report, our hospital is regarded as a low-volume institution with respect to MIDP. Whether the safety and feasibility of RDP in low-volume hospitals such as our hospital is the same as those in high-volume hospitals remains unclear.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes of Robotic Distal Pancreatectomy Versus Laparoscopic Distal Pancreatectomy at a Hospital in a Sparsely Populated Area

et al. 2023

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Background Robotic distal pancreatectomy (RDP) has a better or comparable surgical outcome when compared with laparoscopic distal pancreatectomy (LDP). However, whether the surgical outcome for these procedures in local, low-volume hospitals are comparable with those of the typically larger centers described in published reports remains unclear. Methods This study enrolled 48 patients who underwent either RDP or LDP between August 2012 and April 2023. Data were retrospectively analyzed to evaluate the short-term surgical outcomes of RDP versus LDP in our hospital, which is a low-volume center. Results The use of stapling with reinforcement in RDP was significantly higher than in LDP, and the postoperative hospital stay for RDP was significantly shorter than for LDP. Except for these two variables, there were no statistically significant differences between RDP and LDP in preoperative, intraoperative, or postoperative patient characteristics. Conclusion RDP can be performed as safely and effectively as LDP in a low-volume hospital located in a sparsely populated area.

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“…66 A European registry for minimally invasive pancreatic surgery was also initiated in 2019, already involving 54 pancreatic centres in 15 countries during its first year of existence. 67,68 IMPLICATIONS OF PANCREATIC SURGERY…”

Section: Pancreatic Registriesmentioning

confidence: 99%

Effects of Pancreatic Surgery : Quality of Life, Cost-effectiveness and Postoperative Results

Johansen

2023

Linköping University Medical Dissertations

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Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Cited by 12 publications

References 29 publications

Radiomics preoperative-Fistula Risk Score (RAD-FRS) for pancreatoduodenectomy: development and external validation

Radiomics preoperative-Fistula Risk Score (RAD-FRS) for pancreatoduodenectomy: development and external validation

Surgical Outcomes of Robotic Distal Pancreatectomy Versus Laparoscopic Distal Pancreatectomy at a Hospital in a Sparsely Populated Area

Effects of Pancreatic Surgery : Quality of Life, Cost-effectiveness and Postoperative Results

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