State-of-the-Art and Development Trends of Minimally Invasive Pancreatic Surgery
Abstract
Compared with traditional surgery, minimally invasive surgery has the advantages of less complications and quick postoperative recovery. Therefore, modern surgery is developing towards the direction of minimally invasive. while minimally invasive pancreatic surgeries are rather challenging and develop slowly, due to the limits with different operation techniques, long operation time and different operation outcomes, which are only carried out in high-volume pancreatic surgery centers. This special coverage topic will elaborate our long-term experience and the key points to overcome the operational difficulties in laparoscopic and robotic pancreas surgery. In order to promote the development of minimally invasive pancreatic technology and benefit more patients (especially pancreatic cancer patients), some suggestions and prospects with the latest research results at home and abroad are put forward for the future development of this field.
Keywords: Laparoscope, Minimally invasive, Pancreatic surgery, Robotic pancreatic surgery
Full Text:
PDFReferences
AOKI S, MIYATA H, KONNO H, et al. Risk factors of serious postoperative complications after pancreaticoduodenectomy and risk calculators for predicting postoperative complications: a nationwide study of 17, 564 patients in Japan. J Hepatobiliary Pancreat Sci,2017,24(5): 243–251.
ASBUN H J, MOEKOTTE A L, VISSERS F L, et al. International Study Group on Minimally Invasive Pancreas Surgery (I-MIPS). The Miami international evidence-based guidelines on minimally invasive pancreas resection. Ann Surg,2019,217(1): 1–14.
HILST J, ROOIJ T, BOSSCHA K, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): a multicentre, patient-blinded, randomised controlled phase 2/3 trial. Lancet Gastroenterol Hepatol,2019,4(3): 199–207.
CAMERON J L, HE J. Two thousand consecutive pancreatico-duodenectomies. J Am Coll Surg,2015,220(4): 530–536.
WINTER J M, CAMERON J L, CAMPBELL K A, et al. 1423 pancreaticoduodenectomies for pancreatic cancer: a single-institution experience. J Gastrintest Surg,2006,10(9): 1199–1211.
GAGNER M, POMP A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc,1994,8(5): 408–410.
POVES I, BURDÍO F, MORATÓ O, et al. Comparison of perioperative outcomes between laparoscopic and open approach for pancreato-duodenectomy. Ann Surg,2018,268(5): 731–739.
WANG X, CAI Y, JIANG J, et al. Laparoscopic pancreatico-duodenectomy: outcomes and experience of 550 patients in a single institution. Ann Surg Oncol, 2020[2020-02-16]. https://doi.org/ 10.1245/s10434-020-08533–3.
WANG M, PENG B, LIU J, et al. Practice patterns and perioperative outcomes of laparoscopic pancreaticoduodenectomy in China: a retrospective multicenter analysis of 1029 patients. Ann Surg, 2019[2020-02-16]. https://doi.org/10.1097/SLA.0000000000003190.
CAI Y Q, CHEN S R, PENG B. Two-surgeon model in laparoscopic pancreaticoduodenectomy. Surg Laparos Endosc Percutan Tech,2019, 29(4): 275–279.
FLPPRTJE VAN OOSTENO A, SMITS F J, VAN DEN HEUVEL D A F, et al. Diagnosis and management of postpancreatectomy hemorrhage: a systematic review and meta-analysis. HPB (Oxford),2019,21(8): 953–961.
YEKEBAS E F, WOLFRAM L, CATALDEGIRMEN G, et al. Postpancreatectomy hemorrhage: diagnosis and treatment: an analysis in 1669 consecutive pancreatic resections. Ann Surg,2007,246(2): 269–280.
WELLNER U F, KULEMANN B, LAPSHYN H , et al. Postpancreatectomy hemorrhage—incidence, treatment, and risk factors in over 1, 000 pancreatic resections. J Gastrointest Surg,2014,18(3): 464–475.
WENTE M N, VEIT J A, BASSI C, et al. Postpancreatectomy hemorrhage (PPH)—an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery (St Louis),2007,142(1): 20–25.
YOU D, JUNG K, LEE H, et al. Comparison of different pancreatic anastomosis techniques using the definitions of the International Study Group of Pancreatic Surgery: a single surgeon’s experience. Pancreas, 2009,38(8): 896–902.
GAGNER M, POMP A, HERRERA M F. Early experience with laparoscopic resections of islet cell tumors. Surgery,1996,120(6): 1051–1054.
PANDA N, BANSAL N K, NARSIMHAN M, et al. Spleen-preserving versus spleen-sacrificing distal pancreatectomy in laparoscopy and open method-perioperative outcome analysis—14 years experience. Indian J Surg,2016,78(2): 90–95.
WARSHAW A L. Conservation of the spleen with distal pancreatectomy. Arch Surg,1988,123(5): 550–553.
KIMURA W, INOUE T, FUTAKAWA N, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery, 1996,120(5): 885–890.
WARSHAW A L. Conservation of spleen with distal pancreatectomy. J Hepatobiliary Pancreat Sci,2010,17(6): 808–812.
SONG J, HE Z, MA S, et al. Clinical comparison of spleen-preserving distal pancreatectomy with or without splenic vessel preservation: a systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A, 2019,29(3): 323–332.
NAGAKAWA Y, SAHARA Y, HOSOKAWA Y, et al. The straightened splenic vessels method improves surgical outcomes of laparoscopic distal pancreatectomy. Dig Surg,2017,34(4): 289–297.
NAKAMURA M, NAGAYOSHI Y, KONO H, et al. Lateral approach for laparoscopic splenic vessel-preserving distal pancreatectomy. Surgery, 2011,150(2): 326–331.
BEGER H G, KUNZ R, POCH B. The Beger procedure—duodenum- preserving pancreatic head resection. J Gastrointest Surg,2004,8(8): 1090–1097.
BEGER H G, NAKAO A, MAYER B, et al. Duodenum-preserving total and partial pancreatic head resection for benign tumors-systematic review and meta-analysis. Pancreatology,2015,15(2): 167–178.
HORIGUCHI A, MIYAKAWA S, ISHIHARA S, et al. Surgical design and outcome of duodenum-preserving pancreatic head resection for benign or low-grade malignant tumors. J Hepatobiliary Pancreat Sci, 2010,17(6): 792–797.
TAKADA T, YASUDA H, UCHIYAMA K, et al. Duodenum-preserving pancreatoduodenostomy. A new technique for complete excision of the head of the pancreas with preservation of biliary and alimentary integrity. Hepatogastroenterology,1993,40(4): 356–359.
KIMURA W, MUTO T, MAKUUCHI M, et al. Subtotal resection of the head of the pancreas preserving duodenum and vessels of pancreatic arcade. Hepatogastroenterology,1996,43(12): 1438–1441.
CHEN S, GAO P, CAI H, et al. Indocyanine green-enhanced fluorescence in laparoscopic duodenum-preserving pancreatic head resection: technique with video. Ann Surg Oncol, 2020 [2020-06-01]. http://doi:10.1245/s10434-020-08360–6.
KORNAROPOULOS M, MORIS D, BEAL E W, et al. Total robotic pancreaticoduodenectomy: a systematic review of the literature. Surg Endosc,2017,31: 4382–4392.
EMPERO M A, MALAFA M P, AL-HAWARY M, et al. Pancreatic adenocarcinoma, version 2.2017, NCCN clinical practice guidelines in oncology. J Nati Compr Canc Netw,2017,15(8): 1028–1061.
CAI Y, GAO P, LI Y, et al. Laparoscopic pancreaticoduodenectomy with major venous resection and reconstruction: anterior superior mesenteric artery first approach. Surg Endosc,2018,32(10): 4209–4215.
PIER CRISTOFORO G, PIETRO A, NICOLAS CHRISTIAN B, et al. Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas,2011,40(8): 1264–1270.
XOURAFAS D, ASHLEY S W, CLANCY T E. Comparison of perioperative outcomes between open, laparoscopic, and robotic distal pancreatectomy: an analysis of 1815 patients from the ACS-NSQIP procedure-targeted pancreatectomy database. J Gastrointest Surg,2017, 21(9): 1442–1452.
JA I S, B RRBOURA V, MALLEO G, et al. Serous cystic neoplasm of the pancreas: a multinational study of 2622 patients under the auspices of the International Association of Pancreatology and European Pancreatic Club (European Study Group on Cystic Tumors of the Pancreas). Gut,2016, 65(2): 305–312.
Refbacks
- There are currently no refbacks.



