Systemic Review of the Feasibility and Advantage of Minimally Invasive Pancreaticoduodenectomy

World Journal of Surgery
Chien-Hung LiaoTa-Sen Yeh

Abstract

Minimally invasive pancreaticoduodenectomy (MIPD), which includes laparoscopic pancreaticoduodenectomy (LPD) and robotic pancreaticoduodenectomy (RPD), is a complex procedure that needs to be performed by experienced surgeons. However, the safety and oncologic performance have not yet been conclusively determined. A systematic literature search was performed using the Embase, Medline, and PubMed databases to identify all studies published up to March 2015. Articles written in English containing the keywords: "pancreaticoduodenectomy" or "Whipple operation" combined with "laparoscopy," "laparoscopic," "robotic," "da vinci," or "minimally invasive surgery" were selected. Furthermore, to increase the power of evidence, articles describing more than ten MIPDs were selected for this review. Twenty-six articles matched the review criteria. A total of 780 LPDs and 248 RPDs were included in the current review. The overall conversion rate to open surgery was 9.1 %. The weighted average operative time was 422.6 min, and the weighted average blood loss was 321.1 mL. The weighted average number of harvested lymph nodes was 17.1, and the rate of microscopically positive tumor margins was 8.4 %. The cumulative morbidity was 35.9 %, and a pan...Continue Reading

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Citations

Aug 25, 2016·Langenbeck's Archives of Surgery·Emanuele F KauffmannUgo Boggi
Dec 18, 2016·Langenbeck's Archives of Surgery·Chien-Hung LiaoTa-Sen Yeh
Mar 10, 2017·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Hongbeom KimJin-Young Jang
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May 21, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Lingwei MengBing Peng

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