Outcomes After Minimally-invasive Versus Open Pancreatoduodenectomy

Abstract

In the early experience of 14 European centers performing ≥10 MIPDs annually, no differences were found in major morbidity, mortality, and hospital stay between MIPD and OPD. The high rates of POPF and conversion, and the lack of superior outcomes (ie, hospital stay, morbidity) could indicate that more experience and higher annual MIPD volumes are needed.

Minimally invasive versus open distal pancreatectomy for pancreatic neuroendocrine tumors: An analysis from the U.S. neuroendocrine tumor study group

“…10,11 Because the first laparoscopic pancreatic surgery performed by Cuschieri in 1994, 12 laparoscopic surgery has been increasingly utilized in pancreatic surgery because of its minimal invasiveness versus open procedures. 3,[13][14][15][16] Because of its overall relatively low incidence, the assessment of short-and long-term outcomes after laparoscopic versus open surgery for pNET have been limited.…”

First experience with robotic pancreatoduodenectomy in Singapore

“…(33) The results of this study suggest that unlike LPD, which has been shown in some studies to result in increased morbidity compared to the open approach (8) especially during the learning phase, RPD can be adopted safely with no increase in morbidity even during the learning phase. Another recent multi-institution study from Europe reported that RPD was associated with a significantly lower conversion rate (5% vs. 26%, p < 0.001) compared to LPD, (34) suggesting that the technical advantages of RPD over LPD, including its increased dexterity, could be useful for PD.…”

Encuesta nacional sobre las Unidades de Cirugía Pancreática

“…Pese a estos datos, la PD laparoscó pica probablemente no está tan difundida como parece. En 2015, el Grupo Holandé s de Cá ncer de Pá ncreas (Dutch Cancer Study Group) publicó que en el periodo 2005-2013, solo el 10% de las PD en Holanda se habían realizado por abordaje laparoscó pico; tras ello se implantó un sistema formativo tutorizado nacional que ha incrementado su utilizació n. En un estudio mundial, recié n publicado, comparando DPC laparoscó pica y DPC abierta, solo el 17% de los pacientes se habían intervenido por abordaje laparoscó pico, robó tico o híbrido 17 . Los datos de nuestra encuesta son superiores a los mencionados previamente, ya que en PD el 90% de los grupos realizan PD laparoscó pica, aunque no se ha podido precisar el porcentaje exacto de PD realizadas por laparoscopia, y ú nicamente un 10% de los grupos realizan DPC laparoscó pica.…”