Minimally invasive hepatopancreatic and biliary surgery in children: a large centre experience and review of the literature

Laureiro, Zoe Larghi; Angelico, Roberta; Rigamonti, Andrea; Saffioti, Maria Cristina; Maritato, Sara; Grimaldi, Chiara; Spada, Marco

doi:10.1016/j.hpb.2021.10.013

Cited by 1 publication

(2 citation statements)

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Section: Morbidity Of Standard and Organ-sparing Pancreatectomies In ...mentioning

confidence: 99%

“…In the last few years, a minimally invasive approach has been safely introduced in clinical practice for a few types of pancreatectomies in children for a specific pathology, and it was also associated with very low morbidity rates [ 45 , 46 ]. However, a review published in 2022 identified only 77 children with minimally invasive pancreatic surgery in the literature [ 46 ]. A few studies comparing open and laparoscopic distal pancreatectomies for SPT in children identified shorter hospitalization and better recovery after the laparoscopic approach [ 47 , 48 ].…”

Section: Morbidity Of Standard and Organ-sparing Pancreatectomies In ...mentioning

confidence: 99%

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Preservation of Pancreatic Function Should Not Be Disregarded When Performing Pancreatectomies for Pancreatoblastoma in Children

Dumitrascu

2024

Pediatric Reports

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Complete surgical resection in the context of a multimodal approach has been associated with excellent long-term survival in children diagnosed with pancreatoblastoma (PB). Traditionally, curative intent surgery for PB implies standard pancreatic resections such as pancreaticoduodenectomies and distal pancreatectomies with splenectomies, surgical procedures that may lead to significant long-term pancreatic functional deficiencies. Postoperative pancreatic functional deficiencies are particularly interesting to children because they may interfere with their development, considering their long life expectancy and the significant role of pancreatic functions in their nutritional status and growth. Thus, organ-sparing pancreatectomies, such as spleen-preserving distal pancreatectomies and central pancreatectomies, are emerging in specific tumoral pathologies in children. However, data about organ-sparing pancreatectomies’ potential role in curative-intent PB surgery in children are scarce. Based on the literature data, the current review aims to present the early and late outcomes of pancreatectomies in children (including long-term deficiencies and their potential impact on the development and quality of life), particularly for PB, and further explore the potential role of organ-sparing pancreatectomies for PB. Organ-sparing pancreatectomies are associated with better long-term pancreatic functional outcomes, particularly central pancreatectomies, and have a reduced impact on children’s development and quality of life without jeopardizing their oncological safety. The long-term preservation of pancreatic functions should not be disregarded when performing pancreatectomies for PB in children. A subset of patients with PB might benefit from organ-sparing pancreatectomies, particularly from central pancreatectomies, with the same oncological results as standard pancreatectomies but with significantly less impact on long-term functional outcomes.

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Section: Morbidity Of Standard and Organ-sparing Pancreatectomies In ...mentioning

confidence: 99%

Section: Morbidity Of Standard and Organ-sparing Pancreatectomies In ...mentioning

confidence: 99%

Minimally invasive hepatopancreatic and biliary surgery in children: a large centre experience and review of the literature

Cited by 1 publication

References 45 publications

Preservation of Pancreatic Function Should Not Be Disregarded When Performing Pancreatectomies for Pancreatoblastoma in Children

Preservation of Pancreatic Function Should Not Be Disregarded When Performing Pancreatectomies for Pancreatoblastoma in Children

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