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Minimally Invasive Pancreatic Surgery: What the Future Holds for This Field?

  • P. Senthilnathan
  • S. Srivatsan Gurumurthy
  • C. Palanivelu
Chapter
Part of the GI Surgery Annual book series (GISA, volume 24)

Abstract

Minimally invasive surgery, a widely adopted tool for most domains of gastrointestinal surgery, has been relatively slow to evolve in the field of pancreatic surgery. The reasons include proximity to the great vessels, retroperitoneal location, need for advanced intracorporeal suturing skills and increased risk of complications associated with these procedures. With enormous development in surgical technology coupled with improved anatomical knowledge and refined skills, minimally invasive pancreatic surgery has grown out of its infancy and is an established specialty in hepato-pancreato-biliary surgery today. As a result, the initial scepticism and reluctance associated with minimally invasive pancreatic resections has decreased and many surgeons are attempting to enter this difficult terrain. Recent publications highlight potential advantages of minimally invasive pancreatic resection (MIPR) over open pancreatic resection (OPR). These include reduced pain, decreased blood loss and need for transfusion, an earlier return of bowel function, decreased wound infection rates and shorter intensive care unit and overall hospital stays [1, 2]. Though the number of minimally invasive pancreatic resections performed for benign and malignant diseases of the pancreas has increased in recent years, cost considerations and financial implications of these new approaches need to be well defined [3–5]. Clear guidelines and standardization of surgical technique are paramount for the safe and steady expansion of this novel surgical approach [6].

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Copyright information

© Indian Association of Surgical Gastroenterology 2018

Authors and Affiliations

  • P. Senthilnathan
    • 1
  • S. Srivatsan Gurumurthy
    • 1
  • C. Palanivelu
    • 2
  1. 1.Division of Minimally Invasive, Liver Transplant and HPB SurgeryGEM Centre for Liver and Pancreas, GEM Hospital and Research CentreCoimbatoreIndia
  2. 2.Institute of Gastroenterology and Minimal Access Surgery, GEM Hospital and Research CentreCoimbatoreIndia

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