Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps.
Adenocarcinoma
Laparoscopic
Minimally invasive surgery
Pancreatoduodenectomy
Journal
Oncology and therapy
ISSN: 2366-1089
Titre abrégé: Oncol Ther
Pays: New Zealand
ID NLM: 101677510
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
30
03
2022
accepted:
15
06
2022
pubmed:
14
7
2022
medline:
14
7
2022
entrez:
13
7
2022
Statut:
ppublish
Résumé
Minimally invasive pancreatoduodenectomy has gained popularity throughout the last decade. For laparoscopic pancreatoduodenectomy, some high-level evidence exists, but with conflicting results. There are currently no published randomized controlled trials comparing robotic and open pancreatoduodenectomy. Comparative long-term data for patients with pancreatic ductal adenocarcinoma is lacking to date. Based on the existing evidence, current observed benefits of minimally invasive pancreatoduodenectomy over open pancreatoduodenectomy seem scarce, but retrospective data indicate the safety of these procedures in selected patients. As familiarity with the robotic platform increases, studies have shown an expansion in indications, also including patients with vascular involvement and even indicating favorable results in patients with obesity and high-risk morphometric features. Several ongoing randomized controlled trials aim to investigate potential differences in short- and long-term outcomes between minimally invasive and open pancreatoduodenectomy. Their results are much awaited.
Identifiants
pubmed: 35829933
doi: 10.1007/s40487-022-00203-6
pii: 10.1007/s40487-022-00203-6
pmc: PMC9681949
doi:
Types de publication
Journal Article
Langues
eng
Pagination
301-315Informations de copyright
© 2022. The Author(s).
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