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Laparoscopic Pancreatic Resections for Cancer: Pushing the Boundaries

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Abstract

Laparoscopic pancreatic resection (distal pancreatectomy, pancreaticoduodenectomy, including pancreaticoduodenectomy with vascular resections) for pancreatic ductal adenocarcinoma is a technically demanding procedure, and the available evidence from selected high-volume centers suggest it to be well within the oncological principles of surgery for cancer, though this remains to be proven in a randomized study. This review summarizes the present status of laparoscopic resections for pancreatic cancer.

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References

  1. Gagner M, Pomp A, Herrera MF (1996) Early experience with laparoscopic resections of islet cell tumors. Surgery 120:1051–1054

    Article  PubMed  CAS  Google Scholar 

  2. Cuschieri A, Jakimowicz JJ, van Spreeuwel J (1996) Laparoscopic distal 70 % pancreatectomy and splenectomy for chronic pancreatitis. Ann Surg 223:280–285

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Kooby DA, Gillespie T, Bentrem D, Nakeeb A, Schmidt MC et al (2008) Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches. Ann Surg 248:438–446

    PubMed  Google Scholar 

  4. Nakamura M, Wakabayashi G, Miyasaka Y, Tanaka M, Morikawa T et al (2015) Multicenter comparative study of laparoscopic and open distal pancreatectomy using propensity score-matching. J Hepatobiliary Pancreat Sci 22:731–736

    Article  PubMed  Google Scholar 

  5. Vijan SS, Ahmed KA, Harmsen WS, Que FG, Reid-Lombardo KM, Nagorney DM, Donohue JH, Farnell MB, Kendrick ML (2010) Laparoscopic vs open distal pancreatectomy: a single-institution comparative study. Arch Surg 145(7):616–621

    Article  PubMed  Google Scholar 

  6. Ricci C, Casadei R, Taffurelli G, Toscano F, Pacilio CA et al (2015) Laparoscopic versus open distal pancreatectomy for ductal adenocarcinoma: a systematic review and meta-analysis. J Gastrointest Surg 19(4):770–781

    Article  PubMed  Google Scholar 

  7. Gagner M, Pomp A (1994) Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 8:408e410

    Google Scholar 

  8. Kimura Y, Hirata K, Mukaiya M, Mizuguchi T, Koito K, Katsuramaki T (2005) Hand- assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease. Am J Surg 189(6):734–737

    Article  PubMed  Google Scholar 

  9. Wellner UF, Küsters S, Sick O, Busch C, Bausch D et al (2014) Hybrid laparoscopic versus open pylorus-preserving pancreatoduodenectomy: retrospective matched case comparison in 80 patients. Langenbeck’s Arch Surg 399(7):849–856

    Article  Google Scholar 

  10. Kendrick ML, Cusati D (2010) Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 145(1):19–23

    Article  PubMed  Google Scholar 

  11. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ, Nagorney DM, Kendrick ML (2014) Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg 260(4):633–638, discussion 638-40

    Article  PubMed  Google Scholar 

  12. Kendrick ML, Sclabas GM (2011) Major venous resection during total laparoscopic pancreaticoduodenectomy. HPB(Oxford) 13(7):454–458

    Google Scholar 

  13. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ, Nagorney DM, Kendrick ML (2015) Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches. J Gastrointest Surg 19(1):189–194, discussion 194

    Article  PubMed  Google Scholar 

  14. Zureikat AH, Hogg ME, Zeh HJ 3rd (2014) The utility of the robot in pancreatic resections. Adv Surg 48:77–95

    Article  PubMed  Google Scholar 

  15. Daouadi M, Zureikat AH, Zenati MS, Choudry H, Tsung A et al (2013) Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg 257(1):128–132

    Article  PubMed  Google Scholar 

  16. Chen Y, Yan J, Yuan Z, Yu S, Wang Z, Zheng Q (2013) A meta-analysis of robotic-assisted pancreatectomy versus laparoscopic and open pancreatectomy. Saudi Med J 34(12):1229–1236

    PubMed  Google Scholar 

  17. Zureikat AH, Moser AJ, Boone BA, Bartlett DL, Zenati M, Zeh HJ 3rd (2013) 250 robotic pancreatic resections: safety and feasibility. Ann Surg 258(4):554–559, discussion 559-62

    PubMed  PubMed Central  Google Scholar 

  18. Giulianotti PC, Addeo P, Buchs NC, Ayloo SM, Bianco FM (2011) Robotic extended pancreatectomy with vascular resection for locally advanced pancreatic tumors. Pancreas 40(8):1264–1270

    Article  PubMed  Google Scholar 

  19. Correa-Gallego C, Dinkelspiel HE, Sulimanoff I, Fisher S, Viñuela EF, Kingham TP, Fong Y, DeMatteo RP, D’Angelica MI, Jarnagin WR, Allen PJ (2014) Minimally-invasive vs open pancreaticoduodenectomy: systematic review and meta-analysis. J Am Coll Surg 218(1):129–139

    Article  PubMed  Google Scholar 

  20. Asbun HJ, Stauffer JA (2012) Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the accordion severity grading system. J Am Coll Surg 215:810e819

    Article  Google Scholar 

  21. Buchs NC, Addeo P, Bianco FM et al (2011) Robotic versus open pancreaticoduodenectomy: a comparative study at a single institution. World J Surg 35:2739e2746

    Article  Google Scholar 

  22. Chalikonda S, Aguilar-Saavedra JR, Walsh RM (2012) Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc 26:2397e2402

    Article  Google Scholar 

  23. Lai EC, Yang GP, Tang CN (2012) Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy—a comparative study. Int J Surg 10:475e479

    Google Scholar 

  24. Zhou NX, Chen JZ, Liu Q et al (2011) Outcomes of pancreatoduodenectomy with robotic surgery versus open surgery. Int J Med Robot 7:131–137

    Article  PubMed  Google Scholar 

  25. Zureikat AH, Breaux JA, Steel JL et al (2011) Can laparoscopic pancreaticoduodenectomy be safely implemented? J Gastrointest Surg 15:1151e1157

    Article  Google Scholar 

  26. Abdelgadir Adam M, Choudhury K, Dinan MA, Reed SD, Scheri RP et al (2015) Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg 262(2):372–377

    Article  PubMed  Google Scholar 

  27. Kooby DA, Vollmer CM (2015) Laparoscopic versus open distal pancreatectomy: is a randomized trial necessary? J Hepatobiliary Pancreat Sci 22(10):737–739. doi:10.1002/jhbp.279

    Article  PubMed  Google Scholar 

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Correspondence to Mallika Tewari.

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Tewari, M. Laparoscopic Pancreatic Resections for Cancer: Pushing the Boundaries. Indian J Surg 77, 428–432 (2015). https://doi.org/10.1007/s12262-015-1385-6

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  • DOI: https://doi.org/10.1007/s12262-015-1385-6

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