Abstract
Laparoscopic pancreatoduodenectomy is currently limited to a few tertiary centers worldwide. The slow distribution of this technique since its first description by Gagner and Pomp (Gagner 1994) more than twenty years ago is due to numerous reasons: (1) In contrast to laparoscopic distal pancreatectomy, the laparoscopic pancreatic head resection is characterized by a complex reconstruction involving the pancreatic anastomosis as well as the biliojejunal anastomosis. (2) The technical prerequisites for dissectors and instrumentation have only been developed during the past few years. (3) The combination of laparoscopic proficiency with profound expertise in pancreatic surgery has only just emerged in this new generation of surgeons. In summary, there has been a very dynamic development of the laparoscopic pancreatic head resection during the past few years. There have been published series with over 50 patients demonstrating the feasibility and safety of this technique in specialized centers. In highly specialized teams this technique is even advanced towards more complex surgeries including portal vein resection as well as laparoscopic portal vein reconstruction [1]. The rapid development of this field can be noted when highlighting the number of cases published between January 2012 and June 2013, which exceed the numbers of the 15 years prior [2].
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Croome KP, Farnell MB, Que FG, et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg. 2014;260:633–40. doi:10.1097/SLA.0000000000000937.
Boggi U, Amorese G, Vistoli F, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc. 2015;29:9–23. doi:10.1007/s00464-014-3670-z.
Siech M, Bartsch D, Beger HG, et al. Indications for laparoscopic pancreas operations: results of a consensus conference and the previous laparoscopic pancreas register. Chirurg. 2012;83:247–53. doi:10.1007/s00104-011-2167-8.
Wellner UF, Küsters S, Sick O, et al. Hybrid laparoscopic versus open pylorus-preserving pancreatoduodenectomy: retrospective matched case comparison in 80 patients. Langenbeck’s Arch Surg. 2014;399:849–56. doi:10.1007/s00423-014-1236-0.
Giulianotti PC, Sbrana F, Bianco FM, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc. 2010;24:1646–57. doi:10.1007/s00464-009-0825-4.
Zeh HJ, Zureikat AH, Secrest A, et al. Outcomes after robot-assisted pancreaticoduodenectomy for periampullary lesions. Ann Surg Oncol. 2012;19:864–70. doi:10.1245/s10434-011-2045-0.
Adam MA, Choudhury K, Dinan MA, et al. Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg. 2015;262:372–7. doi:10.1097/SLA.0000000000001055.
Keck T, Wellner UF, Bahra M, et al. Pancreatogastrostomy versus pancreatojejunostomy for RECOnstruction after PANCreatoduodenectomy (RECOPANC, DRKS 00000767). Ann Surg. 2016;263:440–9. doi:10.1097/SLA.0000000000001240.
Liao C-H, Wu Y-T, Liu Y-Y, et al. Systemic review of the feasibility and advantage of minimally invasive pancreaticoduodenectomy. World J Surg. 2016;40:1218–25. doi:10.1007/s00268-016-3433-1.
Adam U, Makowiec F, Riediger H, et al. Pancreatic leakage after pancreas resection. An analysis of 345 operated patients. Chirurg. 2002;73:466–73.
Speicher PJ, Nussbaum DP, White RR, et al. Defining the learning curve for team-based laparoscopic pancreaticoduodenectomy. Ann Surg Oncol. 2014; doi:10.1245/s10434-014-3839-7.
Wang M, Meng L, Cai Y, et al. Learning curve for laparoscopic pancreaticoduodenectomy: a CUSUM analysis. J Gastrointest Surg. 2016;20:924–35. doi:10.1007/s11605-016-3105-3.
Emam TA, Cuschieri A. How safe is high-power ultrasonic dissection? Ann Surg. 2003;237:186–91. doi:10.1097/01.SLA.0000048454.11276.62.
Lämsä T, Jin H-T, Nordback PH, et al. Pancreatic injury response is different depending on the method of resecting the parenchyma. J Surg Res. 2009;154:203–11. doi:10.1016/j.jss.2008.08.018.
Wellner UF, Sick O, Olschewski M, et al. Randomized controlled single-center trial comparing pancreatogastrostomy versus pancreaticojejunostomy after partial pancreatoduodenectomy. J Gastrointest Surg. 2012;16:1686–95. doi:10.1007/s11605-012-1940-4.
Sharpe SM, Talamonti MS, Wang CE, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the National Cancer Data Base. J Am Coll Surg. 2015;221:175–84. doi:10.1016/j.jamcollsurg.2015.04.021.
Kim SC, Song KB, Jung YS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc. 2013;27:95–103. doi:10.1007/s00464-012-2427-9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Wellner, U., Honselmann, K., Keck, T. (2017). Hybrid Laparoscopic Duodenopancreatectomy. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_23
Download citation
DOI: https://doi.org/10.1007/978-3-319-54301-7_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-54300-0
Online ISBN: 978-3-319-54301-7
eBook Packages: MedicineMedicine (R0)