Initial experience with laparoscopic and robotic surgery for the treatment of periampullary tumours: single institution experience with the first 30 consecutive cases

ANZ Journal of Surgery
Brian K P GohChung-Yip Chan

Abstract

Concerns have been raised about the safety of minimally invasive surgery (MIS) for pancreatoduodenectomy (PD) during the early learning phase. In this study, we present our initial experience with MIS for periampullary tumours. Retrospective review of the first 30 consecutive patients who underwent laparoscopic (LS)/robotic surgery (RS) for periampullary tumours between 2014 and 2017. Twenty-seven patients underwent PD, including three total pancreatectomies (TPs) and three underwent palliative bypasses. Twenty underwent LS, of which 18 were hybrid PDs, including two TPs and two bypasses. Ten patients underwent RS, of which nine were PDs, including one TP and one bypass. Five of 10 RSs were totally MIS procedures. There were four PDs with venous resection, of which three were by RS. There were four (13.3%) open conversions all in the LS cohort. There were five (16.7%) major (>grade 2) morbidities, including three pancreatic fistulas (two grade B and one grade C). There was no 30-day and one (3.3%) 90-day mortality. Comparison between RS and LS demonstrated that RS had a higher likelihood of being completed via totally MIS (five (50%) versus 0, P = 0.002), tended to have a shorter post-operative stay (eight (range 6-36) versus 1...Continue Reading

References

May 1, 1994·Surgical Endoscopy·M Gagner, A Pomp
Aug 14, 2003·Surgical Endoscopy·M A TalaminiUNKNOWN Academic Robotics Group
Jun 14, 2008·The British Journal of Surgery·G N BuchananR H Kennedy
Jun 27, 2012·Nature Reviews. Gastroenterology & Hepatology·Josh WinerAmer H Zureikat
Jun 14, 2014·Annals of Surgical Oncology·Paul J SpeicherAlexander Perez
Mar 1, 2015·Journal of the American College of Surgeons·John L Cameron, Jin He
Mar 20, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Palanisamy SenthilnathanChinnusamy Palanivelu
Apr 5, 2015·Journal of the American College of Surgeons·Safi DokmakAlain Sauvanet
Sep 17, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shuyin Liang, Shiva Jayaraman
Jan 4, 2017·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Surgery (ISGPS)
Sep 13, 2017·The British Journal of Surgery·C PalaniveluS Rajapandian
Sep 21, 2017·Journal of Minimal Access Surgery·Brian K P GohChung-Yip Chan
Oct 3, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Ammara A WatkinsA James Moser
Oct 13, 2017·ANZ Journal of Surgery·Bhavik PatelDavid Cavallucci
Oct 29, 2017·Journal of Visualized Surgery·Daniel GalvezJin He
Jun 5, 2018·Annals of Surgery·Sjors KlompmakerUNKNOWN European consortium on Minimally Invasive Pancreatic Surgery (E-MIPS)

❮ Previous
Next ❯

Citations

Mar 18, 2020·Annals of Hepato-biliary-pancreatic Surgery·Ken Min Chin, Brian K P Goh
Mar 3, 2021·Annals of Hepato-biliary-pancreatic Surgery·Yun Le LinnBrian K P Goh
Nov 17, 2021·Journal of Hepato-biliary-pancreatic Sciences·Yuichi NagakawaMasafumi Nakamura

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.