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Minimally Invasive Surgery for Pancreatic Cancer

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Abstract

During the past 20 years, the application of a minimally invasive approach to pancreatic surgery has progressively increased and has been established as feasible and safe. Comparative studies have demonstrated several advantages of minimally invasive approaches over the open approach for pancreatic resection, namely, less blood loss, shorter hospital stay, and early recovery. Laparoscopic distal pancreatectomy is the most frequently used procedure in pancreatic surgery. However, the utilization of laparoscopic pancreaticoduodenectomy is limited to a few highly experienced surgeons, due to the very challenging resection and complex anastomoses. The introduction of a robotic platform more than 10 years ago increased the interest of many surgeons in minimally invasive treatment of pancreatic diseases. This new technology overcomes some limitations of laparoscopic surgery, but actual benefits for the patients are still under investigation.

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References

  1. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8(5):408–10.

    Article  CAS  PubMed  Google Scholar 

  2. Cuschieri A, Jakimowicz JJ, van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg. 1996;223(3):280–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Adam MA, et al. Minimally invasive distal pancreatectomy for cancer: short-term oncologic outcomes in 1,733 patients. World J Surg. 2015;39(10):2564–72.

    Article  PubMed  Google Scholar 

  4. Venkat R, et al. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg. 2012;255(6):1048–59.

    Article  PubMed  Google Scholar 

  5. Jayaraman S, et al. Laparoscopic distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg. 2010;211(4):503–9.

    Article  PubMed  Google Scholar 

  6. Nakamura M, et al. Multicenter comparative study of laparoscopic and open distal pancreatectomy using propensity score-matching. J Hepatobiliary Pancreat Sci. 2015;22(10):731–6.

    Article  PubMed  Google Scholar 

  7. Mehrabi A, et al. A systematic review and meta-analysis of laparoscopic versus open distal pancreatectomy for benign and malignant lesions of the pancreas: it’s time to randomize. Surgery. 2015;157(1):45–55.

    Article  PubMed  Google Scholar 

  8. Xourafas D, et al. Distal pancreatic resection for neuroendocrine tumors: is laparoscopic really better than open? J Gastrointest Surg. 2015;19(5):831–40.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kim SC, et al. Comparative analysis of clinical outcomes for laparoscopic distal pancreatic resection and open distal pancreatic resection at a single institution. Surg Endosc. 2008;22(10):2261–8.

    Article  PubMed  Google Scholar 

  10. Song KB, et al. Single-center experience of laparoscopic left pancreatic resection in 359 consecutive patients: changing the surgical paradigm of left pancreatic resection. Surg Endosc. 2011;25(10):3364–72.

    Article  PubMed  Google Scholar 

  11. Ricci C, et al. Laparoscopic distal pancreatectomy: what factors are related to the learning curve? Surg Today. 2015;45(1):50–6.

    Article  PubMed  Google Scholar 

  12. Braga M, et al. Learning curve for laparoscopic distal pancreatectomy in a high-volume hospital. Updat Surg. 2012;64(3):179–83.

    Article  Google Scholar 

  13. Braga M, et al. Results of 100 consecutive laparoscopic distal pancreatectomies: postoperative outcome, cost-benefit analysis, and quality of life assessment. Surg Endosc. 2015;29(7):1871–8.

    Article  PubMed  Google Scholar 

  14. Fox AM, et al. Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center. Surg Endosc. 2012;26(5):1220–30.

    Article  PubMed  Google Scholar 

  15. Rutz DR, et al. Cost comparison analysis of open versus laparoscopic distal pancreatectomy. HPB (Oxford). 2014;16(10):907–14.

    Article  Google Scholar 

  16. Kooby DA, et al. A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate? J Am Coll Surg. 2010;210(5):779–85, 786–7.

    Google Scholar 

  17. Magge D, et al. Comparative effectiveness of minimally invasive and open distal pancreatectomy for ductal adenocarcinoma. JAMA Surg. 2013;148(6):525–31.

    Article  PubMed  Google Scholar 

  18. Shin SH, et al. A comparative study of laparoscopic vs. open distal pancreatectomy for left-sided ductal adenocarcinoma: a propensity score-matched analysis. J Am Coll Surg. 2015;220(2):177–85.

    Article  PubMed  Google Scholar 

  19. de Rooij T, et al. Laparoscopic pancreatic surgery for benign and malignant disease. Nat Rev Gastroenterol Hepatol. 2016;13:227.

    Article  PubMed  Google Scholar 

  20. Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133(5):521–7.

    Article  PubMed  Google Scholar 

  21. Kang CM, Kim DH, Lee WJ. Ten years of experience with resection of left-sided pancreatic ductal adenocarcinoma: evolution and initial experience to a laparoscopic approach. Surg Endosc. 2010;24(7):1533–41.

    Article  PubMed  Google Scholar 

  22. Giulianotti PC, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(7):777–84.

    Article  PubMed  Google Scholar 

  23. Butturini G, et al. A prospective non-randomised single-center study comparing laparoscopic and robotic distal pancreatectomy. Surg Endosc. 2015;29(11):3163–70.

    Article  PubMed  Google Scholar 

  24. Daouadi M, et al. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg. 2013;257(1):128–32.

    Article  PubMed  Google Scholar 

  25. Lee SY, et al. Distal pancreatectomy: a single institution’s experience in open, laparoscopic, and robotic approaches. J Am Coll Surg. 2015;220(1):18–27.

    Article  PubMed  Google Scholar 

  26. Kang CM, et al. Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc. 2011;25(6):2004–9.

    Article  PubMed  Google Scholar 

  27. Shoup M, et al. The value of splenic preservation with distal pancreatectomy. Arch Surg. 2002;137(2):164–8.

    Article  PubMed  Google Scholar 

  28. Benoist S, et al. Is there a role of preservation of the spleen in distal pancreatectomy? J Am Coll Surg. 1999;188(3):255–60.

    Article  CAS  PubMed  Google Scholar 

  29. Chen S, et al. Robotic approach improves spleen-preserving rate and shortens postoperative hospital stay of laparoscopic distal pancreatectomy: a matched cohort study. Surg Endosc. 2015;29(12):3507–18.

    Article  PubMed  Google Scholar 

  30. Sharpe SM, 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(1):175–84.

    Article  PubMed  Google Scholar 

  31. Song KB, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving pancreaticoduodenectomy in patients with periampullary tumors. Ann Surg. 2015;262(1):146–55.

    Article  PubMed  Google Scholar 

  32. Croome KP, et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg. 2014;260(4):633–8; discussion 638–40.

    Google Scholar 

  33. Asbun HJ, Stauffer JA. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the Accordion Severity Grading System. J Am Coll Surg. 2012;215(6):810–9.

    Article  PubMed  Google Scholar 

  34. Buchs NC, et al. Robotic versus open pancreaticoduodenectomy: a comparative study at a single institution. World J Surg. 2011;35(12):2739–46.

    Article  PubMed  Google Scholar 

  35. Chalikonda S, Aguilar-Saavedra JR, Walsh RM. Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc. 2012;26(9):2397–402.

    Article  CAS  PubMed  Google Scholar 

  36. Topal B, et al. Effect of centralization of pancreaticoduodenectomy on nationwide hospital mortality and length of stay. Br J Surg. 2007;94(11):1377–81.

    Article  CAS  PubMed  Google Scholar 

  37. Balzano G, et al. Effect of hospital volume on outcome of pancreaticoduodenectomy in Italy. Br J Surg. 2008;95(3):357–62.

    Article  CAS  PubMed  Google Scholar 

  38. de Wilde RF, et al. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality. Br J Surg. 2012;99(3):404–10.

    Article  PubMed  Google Scholar 

  39. Adam MA, et al. Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg. 2015;262(2):372–7.

    Article  PubMed  Google Scholar 

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Correspondence to Song Cheol Kim .

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Kim, S.C., Song, K.B. (2017). Minimally Invasive Surgery for Pancreatic Cancer. In: Kim, SW., Yamaue, H. (eds) Pancreatic Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47181-4_29

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  • DOI: https://doi.org/10.1007/978-3-662-47181-4_29

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47180-7

  • Online ISBN: 978-3-662-47181-4

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