Systemic Review of the Feasibility and Advantage of Minimally Invasive Pancreaticoduodenectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-05

AUTHORS

Chien-Hung Liao, Yu-Tung Wu, Yu-Yin Liu, Shang-Yu Wang, Shih-Ching Kang, Chun-Nan Yeh, Ta-Sen Yeh

ABSTRACT

BACKGROUND: 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. METHODS: 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. RESULTS: 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 pancreatic fistula was reported in 17.0 % of cases. The average length of hospital stay was 12.4 days, and the mortality rate was 2.2 %. CONCLUSIONS: In conclusion, after reviewing one-thousand cases in the current literature, we conclude that MIPD offers a good perioperative, postoperative, and oncologic outcome. MIPD is feasible and safe in well-selected patients. More... »

PAGES

1218-1225

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00268-016-3433-1

    DOI

    http://dx.doi.org/10.1007/s00268-016-3433-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1047405407

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26830906


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