Skip to main content

Minimally Invasive Pancreas Resections

  • Chapter
  • First Online:
Optimizing Outcomes for Liver and Pancreas Surgery
  • 789 Accesses

Abstract

The technical complexity and associated high complication rate initially hindered the adoption of minimally invasive approaches to pancreatic surgery. Improvements in technology and increasing surgeon experience slowly over came this hesitancy. Over the last decade, successful minimally invasive approaches to essentially all types of pancreatic surgery have been described. The best results are reported from high volume programs with teams dedicated to developing and performing these procedures. We describe the current state of the literature, as well as our techniques for performing these procedures. We caution the reader that acceptable outcomes have been highly associated with proper training, experience, and volumes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. McMahon AJ, Baxter J, Anderson J, Ramsay G, O’Dwyer P, Russell I, et al. Laparoscopic versus minilaparotomy cholecystectomy: a randomised trial. Lancet. 1994;343(8890):135–8.

    Article  CAS  PubMed  Google Scholar 

  2. Kiviluoto T, Sirén J, Luukkonen P, Kivilaakso E. Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. Lancet. 1998;351(9099):321–5.

    Article  CAS  PubMed  Google Scholar 

  3. Attwood SE, Hill AD, Murphy PG, Thornton J, Stephens RB. A prospective randomized trial of laparoscopic versus open appendectomy. Surgery. 1992;112(3):497–501.

    CAS  PubMed  Google Scholar 

  4. Frazee RC, Roberts JW, Symmonds RE, Snyder SK, Hendricks JC, Smith RW, et al. A prospective randomized trial comparing open versus laparoscopic appendectomy. Ann Surg. 1994;219(6):725–8. discussion 728–31

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Puzziferri N, Austrheim-Smith IT, Wolfe BM, Wilson SE, Nguyen NT. Three-year follow-up of a prospective randomized trial comparing laparoscopic versus open gastric bypass. Ann Surg. 2006;243(2):181–8.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Huscher CG, Mingoli A, Sgarzini G, Sansonetti A, Di Paola M, Recher A, et al. Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial. Ann Surg. 2005;241(2):232–7.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Hasegawa H, Kabeshima Y, Watanabe M, Yamamoto S, Kitajima M. Randomized controlled trial of laparoscopic versus open colectomy for advanced colorectal cancer. Surg Endosc Other Int Tech. 2003;17(4):636–40.

    Article  CAS  Google Scholar 

  8. Lujan J, Valero G, Hernandez Q, Sanchez A, Frutos M, Parrilla P. Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer. Br J Surg. 2009;96(9):982–9.

    Article  CAS  PubMed  Google Scholar 

  9. McDermott Jr WV, Bartlett MK. Pancreaticoduodenal cancer. N Engl J Med. 1953;248(22):927–31.

    Article  CAS  Google Scholar 

  10. Morris PJ, Nardi GL. Pancreaticoduodenal cancer. Experience from 1951 to 1960 with a look ahead and behind. Arch Surg. 1966;92(6):834–7.

    Article  CAS  PubMed  Google Scholar 

  11. McDowell BD, Chapman CG, Smith BJ, Button AM, Chrischilles EA, Mezhir JJ. Pancreatectomy predicts improved survival for pancreatic adenocarcinoma: results of an instrumental variable analysis. Ann Surg. 2015;261(4):740–5.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Kairaluoma MI, Stahlberg M, Kiviniemi H. Pancreatic resection for carcinoma of the pancreas and the periampullary region. A twenty-year experience. HPB Surgery. 1990. discussion 66–7;2(1):57–66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Cameron JL, Riall TS, Coleman J, Belcher KA. One thousand consecutive pancreaticoduodenectomies. Ann Surg. 2006;244(1):10–5.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117–27.

    Article  CAS  PubMed  Google Scholar 

  15. Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994;8(5):408–10.

    Article  CAS  PubMed  Google Scholar 

  16. Gagner M, Pomp A, Herrera MF. Early experience with laparoscopic resections of islet cell tumors. Surgery. 1996;120(6):1051–4.

    Article  CAS  PubMed  Google Scholar 

  17. Melvin WS, Needleman B, Krause K, Ellison E. Robotic resection of pancreatic neuroendocrine tumor. J Laparoendosc Adv Surg Tech. 2003;13(1):33–6.

    Article  CAS  Google Scholar 

  18. Giulianotti PC, Sbrana F, Bianco FM, Elli EF, Shah G, Addeo P, et al. Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surg Endosc. 2010;24(7):1646–57.

    Article  PubMed  Google Scholar 

  19. Okunrintemi V, Gani F, Pawlik TM. National trends in postoperative outcomes and cost comparing minimally invasive versus open liver and pancreatic surgery. J Gastrointest Surg. 2016;20(11):1836–43.

    Article  PubMed  Google Scholar 

  20. Begg CB, Cramer LD, Hoskins WJ, Brennan MF. Impact of hospital volume on operative mortality for major cancer surgery. Surv Anesthesiol. 1999;43(6):368–9.

    Article  Google Scholar 

  21. Birkmeyer JD, Finlayson SR, Tosteson AN, Sharp SM, Warshaw AL, Fisher ES. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery. 1999;125(3):250–6.

    Article  CAS  PubMed  Google Scholar 

  22. Kennedy TJ, Cassera MA, Wolf R, Swanstrom LL, Hansen PD. Surgeon volume versus morbidity and cost in patients undergoing pancreaticoduodenectomy in an academic community medical center. J Gastrointest Surg. 2010;14(12):1990–6.

    Article  PubMed  Google Scholar 

  23. Killeen S, O'sullivan M, Coffey J, Kirwan W, Redmond H. Provider volume and outcomes for oncological procedures. Br J Surg. 2005;92(4):389–402.

    Article  CAS  PubMed  Google Scholar 

  24. Hardacre JM. Is there a learning curve for pancreaticoduodenectomy after fellowship training? HPB Surg. 2010;2010:230287.

    Article  PubMed  Google Scholar 

  25. Boone BA, Zenati M, Hogg ME, Steve J, Moser AJ, Bartlett DL, et al. Assessment of quality outcomes for robotic pancreaticoduodenectomy: identification of the learning curve. JAMA Surg. 2015;150(5):416–22.

    Article  PubMed  Google Scholar 

  26. Braga M, Ridolfi C, Balzano G, Castoldi R, Pecorelli N, Di Carlo V. Learning curve for laparoscopic distal pancreatectomy in a high-volume hospital. Updat Surg. 2012;64(3):179–83.

    Article  Google Scholar 

  27. Ricci C, Casadei R, Buscemi S, Taffurelli G, D’Ambra M, Pacilio CA, et al. Laparoscopic distal pancreatectomy: what factors are related to the learning curve? Surg Today. 2015;45(1):50–6.

    Article  PubMed  Google Scholar 

  28. Shakir M, Boone BA, Polanco PM, Zenati MS, Hogg ME, Tsung A, et al. The learning curve for robotic distal pancreatectomy: an analysis of outcomes of the first 100 consecutive cases at a high-volume pancreatic centre. HPB. 2015;17(7):580–6.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Speicher PJ, Nussbaum DP, White RR, Zani S, Mosca PJ, Blazer DG III, et al. Defining the learning curve for team-based laparoscopic pancreaticoduodenectomy. Ann Surg Oncol. 2014;21(12):4014–9.

    Article  PubMed  Google Scholar 

  30. de Rooij T, van Hilst J, Boerma D, Bonsing BA, Daams F, van Dam RM, et al. Impact of a Nationwide training program in minimally invasive distal pancreatectomy (LAELAPS). Ann Surg. 2016;264(5):754–62.

    Article  PubMed  Google Scholar 

  31. Zeng X, Zhong S, Zhu Y, Fei L, Wu W, Cai L. Insulinoma: 31 years of tumor localization and excision. J Surg Oncol. 1988;39(4):274–8.

    Article  CAS  PubMed  Google Scholar 

  32. Fernández-Cruz L, Molina V, Vallejos R, Jiménez Chavarria E, López-Boado M, Ferrer J. Outcome after laparoscopic enucleation for non-functional neuroendocrine pancreatic tumours. HPB. 2012;14(3):171–6.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Crippa S, Bassi C, Salvia R, Falconi M, Butturini G, Pederzoli P. Enucleation of pancreatic neoplasms. Br J Surg. 2007;94(10):1254–9.

    Article  CAS  PubMed  Google Scholar 

  34. Zhang T, Xu J, Wang T, Liao Q, Dai M, Zhao Y. Enucleation of pancreatic lesions: indications, outcomes, and risk factors for clinical pancreatic fistula. J Gastrointest Surg. 2013;17(12):2099–104.

    Article  PubMed  Google Scholar 

  35. Chua TC, Yang TX, Gill AJ, Samra JS. Systematic review and meta-analysis of enucleation versus standardized resection for small pancreatic lesions. Ann Surg Oncol. 2016;23(2):592–9.

    Article  PubMed  Google Scholar 

  36. Briggs CD, Mann CD, Irving GR, Neal CP, Peterson M, Cameron IC, et al. Systematic review of minimally invasive pancreatic resection. J Gastrointest Surg. 2009;13(6):1129–37.

    Article  PubMed  Google Scholar 

  37. Beger H, Siech M, Poch B, Mayer B, Schoenberg M. Limited surgery for benign tumours of the pancreas: a systematic review. World J Surg. 2015;39(6):1557–66.

    Article  CAS  PubMed  Google Scholar 

  38. Dedieu A, Rault A, Collet D, Masson B, Cunha AS. Laparoscopic enucleation of pancreatic neoplasm. Surg Endosc. 2011;25(2):572–6.

    Article  CAS  PubMed  Google Scholar 

  39. Song KB, Kim SC, Hwang DW, Lee JH, Lee DJ, Lee JW, et al. Enucleation for benign or low-grade malignant lesions of the pancreas: single-center experience with 65 consecutive patients. Surgery. 2015;158(5):1203–10.

    Article  PubMed  Google Scholar 

  40. Weinstein S, Morgan T, Poder L, Shin L, Jeffrey RB, Aslam R, et al. Value of intraoperative sonography in pancreatic surgery. J Ultrasound Med. 2015;34(7):1307–18.

    Article  PubMed  Google Scholar 

  41. Bencini L, Annecchiarico M, Farsi M, Bartolini I, Mirasolo V, Guerra F, et al. Minimally invasive surgical approach to pancreatic malignancies. World J Gastrointest Oncol. 2015;7(12):411–21.

    PubMed  PubMed Central  Google Scholar 

  42. Nappo G, Perinel J, El Bechwaty M, Adham M. Minimally invasive pancreatic resection: is it really the future? Dig Surg. 2016;33(4):284–9.

    Article  CAS  PubMed  Google Scholar 

  43. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(7):777–84.

    Article  PubMed  Google Scholar 

  44. Cao HST, Lopez N, Chang DC, Lowy AM, Bouvet M, Baumgartner JM, et al. Improved perioperative outcomes with minimally invasive distal pancreatectomy: results from a population-based analysis. JAMA Surg. 2014;149(3):237–43.

    Article  PubMed Central  Google Scholar 

  45. Ejaz A, Sachs T, He J, Spolverato G, Hirose K, Ahuja N, et al. A comparison of open and minimally invasive surgery for hepatic and pancreatic resections using the Nationwide inpatient sample. Surgery. 2014;156(3):538–47.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Eom B, Jang J, Lee S, Han H, Yoon Y, Kim S. Clinical outcomes compared between laparoscopic and open distal pancreatectomy. Surg Endosc. 2008;22(5):1334–8.

    Article  CAS  PubMed  Google Scholar 

  47. de Rooij T, Jilesen AP, Boerma D, Bonsing BA, Bosscha K, van Dam RM, et al. A nationwide comparison of laparoscopic and open distal pancreatectomy for benign and malignant disease. J Am Coll Surg. 2015;220(3):263–70. e1

    Article  PubMed  Google Scholar 

  48. DiNorcia J, Schrope BA, Lee MK, Reavey PL, Rosen SJ, Lee JA, et al. Laparoscopic distal pancreatectomy offers shorter hospital stays with fewer complications. J Gastrointest Surg. 2010;14(11):1804–12.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Jayaraman S, Gonen M, Brennan MF, D'Angelica MI, DeMatteo RP, Fong Y, et al. Laparoscopic distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg. 2010;211(4):503–9.

    Article  PubMed  Google Scholar 

  50. Casadei R, Ricci C, D’Ambra M, Marrano N, Alagna V, Rega D, et al. Laparoscopic versus open distal pancreatectomy in pancreatic tumours: a case–control study. Updat Surg. 2010;62(3–4):171–4.

    Article  Google Scholar 

  51. Limongelli P, Belli A, Russo G, Cioffi L, D’Agostino A, Fantini C, et al. Laparoscopic and open surgical treatment of left-sided pancreatic lesions: clinical outcomes and cost-effectiveness analysis. Surg Endosc. 2012;26(7):1830–6.

    Article  PubMed  Google Scholar 

  52. Nakamura M, Wakabayashi G, Miyasaka Y, Tanaka M, Morikawa T, Unno M, et al. Multicenter comparative study of laparoscopic and open distal pancreatectomy using propensity score-matching. J Hepatobiliary Pancreat Sci. 2015;22(10):731–6.

    Article  PubMed  Google Scholar 

  53. Khaled YS, Malde DJ, Packer J, De Liguori Carino N, Deshpande R, O’Reilly DA, et al. A case-matched comparative study of laparoscopic versus open distal pancreatectomy. Surg Laparosc Endosc Percutan Tech. 2015;25(4):363–7.

    Article  PubMed  Google Scholar 

  54. Baker MS, Sherman KL, Stocker S, Hayman AV, Bentrem DJ, Prinz RA, et al. Defining quality for distal pancreatectomy: does the laparoscopic approach protect patients from poor quality outcomes? J Gastrointest Surg. 2013;17(2):273–80.

    Article  PubMed  Google Scholar 

  55. Aly MY, Tsutsumi K, Nakamura M, Sato N, Takahata S, Ueda J, et al. Comparative study of laparoscopic and open distal pancreatectomy. J Laparoendosc Adv Surg Tech. 2010;20(5):435–40.

    Article  Google Scholar 

  56. Chung JC, Kim HC, Song OP. Laparoscopic distal pancreatectomy for benign or borderline malignant pancreatic tumors. Turk J Gastroenterol. 2014;25(1):162–6.

    Article  PubMed  Google Scholar 

  57. Riviere D, Gurusamy KS, Kooby DA, Vollmer CM, Besselink MG, Davidson BR, et al. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Libr. 2016:4.

    Google Scholar 

  58. Ricci C, Casadei R, Taffurelli G, Toscano F, Pacilio CA, Bogoni S, et al. Laparoscopic versus open distal pancreatectomy for ductal adenocarcinoma: a systematic review and meta-analysis. J Gastrointest Surg. 2015;19(4):770–81.

    Article  PubMed  Google Scholar 

  59. Venkat R, Edil BH, Schulick RD, Lidor AO, Makary MA, Wolfgang CL. Laparoscopic distal pancreatectomy is associated with significantly less overall morbidity compared to the open technique: a systematic review and meta-analysis. Ann Surg. 2012;255(6):1048–59.

    Article  PubMed  Google Scholar 

  60. Hilal MA, Hamdan M, Di Fabio F, Pearce NW, Johnson CD. Laparoscopic versus open distal pancreatectomy: a clinical and cost-effectiveness study. Surg Endosc. 2012;26(6):1670–4.

    Article  PubMed  Google Scholar 

  61. Fox AM, Pitzul K, Bhojani F, Kaplan M, Moulton C, Wei AC, et al. Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center. Surg Endosc. 2012;26(5):1220–30.

    Article  PubMed  Google Scholar 

  62. Daouadi M, Zureikat AH, Zenati MS, Choudry H, Tsung A, Bartlett DL, et al. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg. 2013;257(1):128–32.

    Article  PubMed  Google Scholar 

  63. Waters JA, Canal DF, Wiebke EA, Dumas RP, Beane JD, Aguilar-Saavedra JR, et al. Robotic distal pancreatectomy: cost effective? Surgery. 2010;148(4):814–23.

    Article  PubMed  Google Scholar 

  64. Kang CM, Kim DH, Lee WJ, Chi HS. Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc. 2011;25(6):2004–9.

    Article  PubMed  Google Scholar 

  65. Duran H, Ielpo B, Caruso R, Ferri V, Quijano Y, Diaz E, et al. Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center. Int J Med Rob Comput Assisted Surg. 2014;10(3):280–5.

    Article  Google Scholar 

  66. Butturini G, Damoli I, Crepaz L, Malleo G, Marchegiani G, Daskalaki D, et al. A prospective non-randomised single-center study comparing laparoscopic and robotic distal pancreatectomy. Surg Endosc. 2015;29(11):3163–70.

    Article  PubMed  Google Scholar 

  67. Wright GP, Zureikat AH. Development of minimally invasive pancreatic surgery: an evidence-based systematic review of laparoscopic versus robotic approaches. J Gastrointest Surg. 2016;20(9):1658–65.

    Article  PubMed  Google Scholar 

  68. Asbun HJ, Stauffer JA. Laparoscopic vs open pancreaticoduodenectomy: overall outcomes and severity of complications using the accordion severity grading system. J Am Coll Surg. 2012;215(6):810–9.

    Article  PubMed  Google Scholar 

  69. Croome KP, Farnell MB, Que FG, Reid-Lombardo KM, Truty MJ, Nagorney DM, et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches? Ann Surg. 2014;260(4):633–8. discussion 638–40

    Article  PubMed  Google Scholar 

  70. Gumbs AA, Croner R, Rodriguez A, Zuker N, Perrakis A, Gayet B. 200 consecutive laparoscopic pancreatic resections performed with a robotically controlled laparoscope holder. Surg Endosc. 2013;27(10):3781–91.

    Article  PubMed  Google Scholar 

  71. Kim SC, Song KB, Jung YS, Kim YH, Park DH, Lee SS, et al. Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience. Surg Endosc. 2013;27(1):95–103.

    Article  PubMed  Google Scholar 

  72. Senthilnathan P, Srivatsan Gurumurthy S, Gul SI, Sabnis S, Natesan AV, Palanisamy NV, et al. Long-term results of laparoscopic pancreaticoduodenectomy for pancreatic and periampullary cancer—experience of 130 cases from a tertiary-care center in South India. J Laparoendosc Adv Surg Tech. 2015;25(4):295–300.

    Article  Google Scholar 

  73. de Rooij T, MZ L, Steen MW, Gerhards MF, Dijkgraaf MG, Busch OR, et al. Minimally invasive versus open pancreatoduodenectomy: systematic review and meta-analysis of comparative cohort and registry studies. Ann Surg. 2016;264(2):257–67.

    Article  PubMed  Google Scholar 

  74. Dokmak S, Ftériche FS, Aussilhou B, Bensafta Y, Lévy P, Ruszniewski P, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. J Am Coll Surg. 2015;220(5):831–8.

    Article  PubMed  Google Scholar 

  75. Boggi U, Amorese G, Vistoli F, Caniglia F, De Lio N, Perrone V, et al. Laparoscopic pancreaticoduodenectomy: a systematic literature review. Surg Endosc. 2015;29(1):9–23.

    Article  PubMed  Google Scholar 

  76. Kuroki T, Adachi T, Okamoto T, Kanematsu TA. Non-randomized comparative study of laparoscopy-assisted pancreaticoduodenectomy and open pancreaticoduodenectomy. Hepato-Gastroenterology. 2012;59(114):570–3.

    PubMed  Google Scholar 

  77. Sharpe SM, Talamonti MS, Wang CE, Prinz RA, Roggin KK, Bentrem DJ, et al. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the National Cancer Data Base. J Am Coll Surg. 2015;221(1):175–84.

    Article  PubMed  Google Scholar 

  78. Adam MA, Choudhury K, Dinan MA, Reed SD, Scheri RP, Blazer DG III, et al. Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg. 2015;262(2):372–7.

    Article  PubMed  Google Scholar 

  79. Tran TB, Dua MM, Worhunsky DJ, Poultsides GA, Norton JA, Visser BC. The first decade of laparoscopic pancreaticoduodenectomy in the United States: costs and outcomes using the nationwide inpatient sample. Surg Endosc. 2016;30(5):1778–83.

    Article  PubMed  Google Scholar 

  80. Song KB, Kim SC, Hwang DW, Lee JH, Lee DJ, Lee JW, et al. Matched case-control analysis comparing laparoscopic and open pylorus-preserving Pancreaticoduodenectomy in patients with Periampullary tumors. Ann Surg. 2015;262(1):146–55.

    Article  PubMed  Google Scholar 

  81. Langan RC, Graham JA, Chin AB, Rubinstein AJ, Oza K, Nusbaum JA, et al. Laparoscopic-assisted versus open pancreaticoduodenectomy: early favorable physical quality-of-life measures. Surgery. 2014;156(2):379–84.

    Article  PubMed  Google Scholar 

  82. Mesleh MG, Stauffer JA, Bowers SP, Asbun HJ. Cost analysis of open and laparoscopic pancreaticoduodenectomy: a single institution comparison. Surg Endosc. 2013;27(12):4518–23.

    Article  PubMed  Google Scholar 

  83. Zureikat AH, Moser AJ, Boone BA, Bartlett DL, Zenati M, Zeh HJ 3rd. 250 robotic pancreatic resections: safety and feasibility. Ann Surg. 2013;258(4):554–9. discussion 559–62

    PubMed  PubMed Central  Google Scholar 

  84. Buchs NC, Addeo P, Bianco FM, Ayloo S, Benedetti E, Giulianotti PC. Robotic versus open pancreaticoduodenectomy: a comparative study at a single institution. World J Surg. 2011;35(12):2739–46.

    Article  PubMed  Google Scholar 

  85. Chalikonda S, Aguilar-Saavedra J, Walsh RM. Laparoscopic robotic-assisted pancreaticoduodenectomy: a case-matched comparison with open resection. Surg Endosc. 2012;26(9):2397–402.

    Article  CAS  PubMed  Google Scholar 

  86. Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy–a comparative study. Int J Surg. 2012;10(9):475–9.

    Article  PubMed  Google Scholar 

  87. Cunha AS, Rault A, Beau C, Collet D, Masson B. Laparoscopic central pancreatectomy: single institution experience of 6 patients. Surgery. 2007;142(3):405–9.

    Article  Google Scholar 

  88. Rotellar F, Pardo F, Montiel C, Benito A, Regueira FM, Poveda I, et al. Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy: a consecutive nine-case series at a single institution. Ann Surg. 2008;247(6):938–44.

    Article  PubMed  Google Scholar 

  89. Chen X, Zhang Y, Sun D. Laparoscopic central pancreatectomy for solid pseudopapillary tumors of the pancreas: our experience with ten cases. World J Surg Oncol. 2014;12(1):1.

    Article  Google Scholar 

  90. Machado MA, Surjan RC, Epstein MG, Makdissi FF. Laparoscopic central pancreatectomy: a review of 51 cases. Surg Laparosc Endosc Percutan Tech. 2013;23(6):486–90.

    Article  PubMed  Google Scholar 

  91. Senthilnathan P, Gul SI, Gurumurthy SS, Palanivelu PR, Parthasarathi R, Palanisamy NV, et al. Laparoscopic central pancreatectomy: our technique and long-term results in 14 patients. J Minim Access Surg. 2015;11(3):167.

    Article  PubMed  PubMed Central  Google Scholar 

  92. Abood GJ, Can MF, Daouadi M, Huss HT, Steve JY, Ramalingam L, et al. Robotic-assisted minimally invasive central pancreatectomy: technique and outcomes. J Gastrointest Surg. 2013;17(5):1002–8.

    Article  PubMed  Google Scholar 

  93. Kang CM, Kim DH, Lee WJ, Chi HS. Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy: a potential way to advanced laparoscopic pancreatectomy. Surg Endosc. 2011;25(4):1101–6.

    Article  PubMed  Google Scholar 

  94. Kuroki T, Eguchi S. Laparoscopic parenchyma-sparing pancreatectomy. J Hepatobiliary Pancreat Sci. 2014;21(5):323–7.

    Article  PubMed  Google Scholar 

  95. Murphy MM, Knaus I, William J, Ng SC, Hill JS, McPhee JT, et al. Total pancreatectomy: a national study. HPB. 2009;11(6):476–82.

    Article  PubMed  PubMed Central  Google Scholar 

  96. Choi SH, Hwang HK, Kang CM, Yoon CI, Lee WJ. Pylorus- and spleen-preserving total pancreatoduodenectomy with resection of both whole splenic vessels: feasibility and laparoscopic application to intraductal papillary mucin-producing tumors of the pancreas. Surg Endosc. 2012;26(7):2072–7.

    Article  PubMed  Google Scholar 

  97. Dallemagne B, Oliveira A, Lacerda CF, D’Agostino J, Mercoli H, Marescaux J. Full laparoscopic total pancreatectomy with and without spleen and pylorus preservation: a feasibility report. J Hepatobiliary Pancreat Sci. 2013;20(6):647–53.

    Article  PubMed  Google Scholar 

  98. Giulianotti PC, Addeo P, Buchs NC, Bianco FM, Ayloo SM. Early experience with robotic total pancreatectomy. Pancreas. 2011;40(2):311–3.

    Article  PubMed  Google Scholar 

  99. Boggi U, Palladino S, Massimetti G, Vistoli F, Caniglia F, De Lio N, et al. Laparoscopic robot-assisted versus open total pancreatectomy: a case-matched study. Surg Endosc. 2015;29(6):1425–32.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paul D. Hansen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Grendar, J., Hansen, P.D. (2018). Minimally Invasive Pancreas Resections. In: Rocha, F., Shen, P. (eds) Optimizing Outcomes for Liver and Pancreas Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62624-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62624-6_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62623-9

  • Online ISBN: 978-3-319-62624-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics