Superior mesenteric–portal vein resection during laparoscopic pancreatoduodenectomy

Khatkov, Igor; Izrailov, R.; Хисамов, А. А.; Tyutyunnik, Pavel; Fingerhut, Abe

doi:10.1007/s00464-016-5115-3

Cited by 34 publications

(22 citation statements)

References 28 publications

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“…For example, the non-specific term "hybrid" has been used to describe surgeries where resection is performed through laparoscopic approach and reconstruction is performed through a mini-laparotomy, 7 under robot assistance, 8,9 or with hand-assistance. 10 Terms such as "totally laparoscopic," "pure laparoscopic," "completely laparoscopic" versus simply using the term "laparoscopic" 11 to describe the procedure make it challenging to navigate the literature. Other terms such as "hybrid" and "minilaparotomy" are vague and represent different approaches depending on the study.…”

Section: Introductionmentioning

confidence: 99%

Standardizing terminology for minimally invasive pancreatic resection

Montagnini

Røsok

Asbun

et al. 2017

HPB

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A systematic terminology template was developed based on combining the approach and resection taking into account the completion. For a solitary approach the term should combine "approach + resection" (e.g. "laparoscopic pancreatoduodenectomy); for combined approaches the term must combine "first approach + resection" with "second approach + reconstruction" (e.g. "laparoscopic central pancreatectomy" with "open pancreaticojejunostomy") and where conversion has resulted the recommended term is "first approach" + "converted to" + "second approach" + "resection" (e.g. "robot-assisted" "converted to open" "pancreatoduodenectomy") CONCLUSIONS: The guidelines presented are geared towards standardizing terminology for MIPR, establishing a basis for comparative analyses and registries and allow incorporating future surgical and technological advances in MIPR.

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Section: Introductionmentioning

confidence: 99%

Standardizing terminology for minimally invasive pancreatic resection

Montagnini

Røsok

Asbun

et al. 2017

HPB

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“…Indications and contraindications to LPD also depend on the experience of the surgical team [12]; with increased experience, it may also be performed for the treatment of tumors involving surrounding organs or vascular structures, and almost all contraindications to LPD may become relative. In this scenario, some pioneering groups have also started performing venous resections during LPDs [7,8].…”

Section: Indicationsmentioning

confidence: 99%

“…This slow diffusion can be explained by three main reasons. The first one is the technical complexity of LPD, especially due to the retroperitoneal position of the pancreas and the proximity to the duodenum and surrounding vascular structures; the fashioning of the laparoscopic anastomoses; and the laparoscopic dissection of the uncinate process from the large vessels [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Pancreatoduodenectomy

Mazzola¹,

Morini²,

Maspero³

et al. 2020

Advanced Endoscopy

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In recent years, total laparoscopic pancreaticoduodenectomy (TLPD) has been introduced as a feasible alternative to open pancreaticoduodenectomy (OPD) when performed by experienced surgeons in laparoscopic and pancreatic surgery. Its application has been gradually increased, but its safety, reproducibility, and oncological outcomes are still debated due to its technical complexity and prolonged operating time. We performed a systematic analysis of the more relevant aspects of TLPD. In this chapter, we report a general overview of the different experiences present in the literature regarding indications, surgical techniques, postoperative outcomes, benefits and limitations of this approach, oncological results, learning curve, and costs. There is no standardized surgical technique for TLPD. Different techniques exist for both the demolitive stage and the reconstructive stage. We summarized the different aspects of the surgical technique based on the various experiences reported by different authors. Compared to OPD, TLPD provides the advantages of laparoscopy, i.e., reduced blood loss, decreased postoperative pain, and shorter length of hospital stay, without increasing the rate of postoperative complications or compromising oncological outcomes. An appropriate patient selection is crucial at the beginning of the learning curve. With increased experience, more challenging cases may also be approached with this technique, including those requiring major vascular resections or multi-visceral resections.

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“…Evidence remains scarce regarding the role of MIPD in the setting of vascular resection for tumor invasion. Only a few case series from expert centers have been published on MIPD with vascular resection and reconstruction [49][50][51][52]. These mostly include venous resections and report acceptable perioperative outcomes.…”

Section: Mipd and Vascular Resectionmentioning

confidence: 99%

Minimally invasive pancreatic surgery—where are we going?

et al. 2019

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Background Introduced in the mid-1990s, minimally invasive pancreatic surgery (MIPS) developed slowly over the next two decades, and its real-life benefits remained unclear. Methods In this review, the current status and evidence on the most common types of MIPS, such as minimally invasive pancreatoduodenectomy (MIPD), distal pancreatectomy, enucleation, and central pancreatectomy are presented. Results Minimally invasive distal pancreatectomy (MIDP) is the most frequently used procedure among

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Superior mesenteric–portal vein resection during laparoscopic pancreatoduodenectomy

Abstract: In our experience, LPD with concomitant major venous resection is feasible even in cases of longitudinal venous invasion. Further studies are needed to evaluate the role of laparoscopy in borderline pancreatic cancer.

Cited by 34 publications

References 28 publications

Standardizing terminology for minimally invasive pancreatic resection

Standardizing terminology for minimally invasive pancreatic resection

Laparoscopic Pancreatoduodenectomy

Minimally invasive pancreatic surgery—where are we going?

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