Minimally invasive pancreatic resection in the light of evidence − state of the art
Authors:
A. Nikov; P. Záruba; M. Ryska; Radek Pohnán
Authors‘ workplace:
Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy, Ústřední vojenská nemocnice Praha – Vojenská fakultní nemocnice
Published in:
Rozhl. Chir., 2021, roč. 100, č. 5, s. 213-217.
Category:
Review
doi:
https://doi.org/10.33699/PIS.2021.100.5.213–217
Overview
The trend of minimally invasive surgery expands even into the most technically demanding areas, including HPB surgery. Faster recovery and elimination of surgical site infections achieved with a minimally invasive approach provides, in addition to a better quality of life, the possibility of starting adjuvant treatment earlier. However, evidence of non-inferiority of short-term and oncological results compared to open surgery is required. In minimally invasive distal pancreatectomy, there is sufficient evidence to suggest that it as the method of choice for benign tumors and low-grade malignancies. For pancreatic cancer, the long-term results so far appear to be equivalent, although this still needs to be confirmed by ongoing randomized controlled trials (RCT). Enucleation of accessible lesions is also a suitable procedure for the minimally invasive approach. In contrast, in pancreaticoduodenectomy, available evidence does not demonstrate a clear benefit of the minimally invasive approach. Safety concerns still remain, and not even formal training has been successful in eliminating the consequences of the long learning curve for perioperative outcomes. Robotic approach appears to be more promising than laparoscopy for pancreaticoduodenectomy. Key words: pancreaticoduodenectomy − distal pancreatectomy − minimally invasive – laparoscopic − robotic
Keywords:
pancreaticoduodenectomy − distal pancreatectomy − minimally invasive – laparoscopic − robotic
Sources
1. Fuks D. Minimally invasive pancreatoduodenectomy. British Journal of Surgery 2020;107(6):630−631. doi:10.1002/ bjs.11569.
2. de Rooij T, van Hilst J, van Santvoort H, et al. Minimally invasive versus open distal pancreatectomy (LEOPARD): A multicenter patient-blinded randomized controlled trial. Ann Surg. 2019;269(1):2−9. doi:10.1097/SLA.0000000000002979.
3. Riviere D, Gurusamy KS, Kooby DA, et al. Laparoscopic versus open distal pancreatectomy for pancreatic cancer. Cochrane Database Syst Rev. 2016;4:CD011391. doi:10.1002/14651858.CD011391.pub2.
4. Mehrabi A, Hafezi M, Arvin J, et al. A systematic review and meta-analysis of laparoscopic versus open distal pancreatectomy for benign and malignant lesions of the pancreas: it’s time to randomize. Surgery 2015;157(1):45−55. doi:10.1016/j. surg.2014.06.081.
5. Asbun HJ, Moekotte AL, Vissers FL, et al. The Miami international evidence-based guidelines on minimally invasive pancreas resection. Ann Surg. 2020;271(1):1−14. doi:10.1097/SLA.0000000000003590.
6. Fisher AV, Fernandes-Taylor S, Schumacher JR, et al. Analysis of 90-day cost for open versus minimally invasive distal pancreatectomy. HPB (Oxford) 2019;21(1):60−66. doi:10.1016/j. hpb.2018.07.003.
7. Gavriilidis P, Lim C, Menahem B, et al. Robotic versus laparoscopic distal pancreatectomy – The first meta-analysis. HPB (Oxford) 2016;18(7):567−574. doi:10.1016/j.hpb.2016.04.008.
8. Niu X, Yu B, Yao L, et al. Comparison of surgical outcomes of robot-assisted laparoscopic distal pancreatectomy versus laparoscopic and open resections: A systematic review and meta-analysis. Asian J Surg. 2019;42(1):32−45. doi:10.1016/j. asjsur.2018.08.011.
9. Guerrini GP, Lauretta A, Belluco C, et al. Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis. BMC Surg. 2017;17(1):101−105. doi:10.1186/s12893-017-0301-3.
10. Lof S, van der Heijde N, Abuawwad M, et al. Robotic versus laparoscopic distal pancreatectomy: multicentre analysis. British Journal of Surgery 2021. doi:10.1093/bjs/ znaa039.
11. van Hilst J, Korrel M, de Rooij T, et al. Oncologic outcomes of minimally invasive versus open distal pancreatectomy for pancreatic ductal adenocarcinoma: A systematic review and meta-analysis. Eur J Surg Oncol. 2019;45(5):719−727. doi:10.1016/j. ejso.2018.12.003.
12. Lof S, Korrel M, van Hilst J, et al. Outcomes of elective and emergency conversion in minimally invasive distal pancreatectomy for pancreatic ductal adenocarcinoma: An international multicenter propensity score-matched study. Ann Surg. 2019. Epub ahead of print; doi:10.1097/ sla.0000000000003717.
13. Guerra F, Giuliani G, Bencini L, et al. Minimally invasive versus open pancreatic enucleation. Systematic review and meta-analysis of surgical outcomes. J Surg Oncol. 2018;117(7):1509−1516. doi:10.1002/jso.25026.
14. Dalla Valle R, Cremaschi E, Lamecchi L, et al. Open and minimally invasive pancreatic neoplasms enucleation: a systematic review. Surg Endosc. 2019;33(10):3192−3199. doi:10.1007/ s00464-019-06967-9.
15. Zhang RC, Zhang B, Mou YP, et al. Comparison of clinical outcomes and quality of life between laparoscopic and open central pancreatectomy with pancreaticojejunostomy. Surg Endosc. 2017; 31(11):4756−4763. doi:10.1007/s00464- 017-5552-7.
16. Zhang H, Xu Q, Tan C, et al. Laparoscopic spleen-preserving distal versus central pancreatectomy for tumors in the pancreatic neck and proximal body. Medicine (Baltimore) 2019;98(34):e16946. doi:10.1097/md.0000000000016946.
17. van Hilst J, de Rooij T, Bosscha K, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): a multicentre, patient-blinded, randomised controlled phase 2/3 trial. Lancet Gastroenterol Hepatol. 2019;4(3):199−207. doi:10.1016/ s2468-1253(19)30004-4.
18. Strobel O, Büchler MW. Laparoscopic pancreatoduodenectomy: safety concerns and no benefits. Lancet Gastroenterol Hepatol. 2019 4(3):186−187. doi:10.1016/ s2468-1253(19)30006-8.
19. Klompmaker S, van Hilst J, Wellner UF, et al. Outcomes after minimally-invasive versus open pancreatoduodenectomy: A Pan-European propensity score matched study. Ann Surg. 2020; 271(2):356−363. doi:10.1097/ sla.0000000000002850.
20. Palanivelu C, Senthilnathan P, Sabnis SC, et al. Randomized clinical trial of laparoscopic versus open pancreatoduodenectomy for periampullary tumours. Br J Surg. 2017;104(11):1443−1450. doi:10.1002/bjs.10662.
21. Poves I, Burdío F, Morató O, et al. Comparison of perioperative outcomes between laparoscopic and open approach for pancreatoduodenectomy: The PADULAP randomized controlled trial. Ann Surg. 2018;268(5):731−739. doi:10.1097/ sla.0000000000002893.
22. Nickel F, Haney CM, Kowalewski KF, et al. Laparoscopic versus open pancreaticoduodenectomy: A systematic review and meta-analysis of randomized controlled trials. Ann Surg. 2020;271(1):54−66. doi:10.1097/sla.0000000000003309.
23. van Hilst J, de Rooij T, van den Boezem PB, et al. Laparoscopic pancreatoduodenectomy with open or laparoscopic reconstruction during the learning curve: a multicenter propensity score matched study. HPB (Oxford) 2019;21(7):857−864. doi:10.1016/j.hpb.2018.11.003.
24. Choi M, Hwang HK, Lee WJ, et al. Total laparoscopic pancreaticoduodenectomy in patients with periampullary tumors: a learning curve analysis. Surg Endosc. 2020. doi:10.1007/s00464-020-07684-4.
25. Nagakawa Y, Nakamura Y, Honda G, et al. Learning curve and surgical factors influencing the surgical outcomes during the initial experience with laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci. 2018;25(11):498−507. doi:10.1002/jhbp.586.
26. Kim S, Yoon YS, Han HS, et al. Evaluation of a single surgeon’s learning curve of laparoscopic pancreaticoduodenectomy: risk-adjusted cumulative summation analysis. Surg Endosc. 2020. doi:10.1007/ s00464-020-07724-z.
27. Adam MA, Thomas S, Youngwirth L, et al. Defining a hospital volume threshold for minimally invasive pancreaticoduodenectomy in the United States. JAMA Surg. 2017;152(4):336−342. doi:10.1001/ jamasurg.2016.4753.
28. de Rooij T, van Hilst J, Topal B, et al. Outcomes of a Multicenter Training Program in Laparoscopic Pancreatoduodenectomy (LAELAPS-2). Ann Surg. 2019;269(2):344−350. doi:10.1097/ sla.0000000000002563.
29. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of surgery 2004;240(2):205−213. doi:10.1097/01.sla.0000133083.54934.ae.
30. Zureikat AH, Beane JD, Zenati MS, et al. 500 minimally invasive robotic pancreatoduodenectomies: One decade of optimizing performance. Ann Surg. 2019. doi:10.1097/sla.0000000000003550.
31. McMillan MT, Zureikat AH, Hogg ME, et al. A propensity score-matched analysis of robotic vs open pancreatoduodenectomy on incidence of pancreatic fistula. JAMA Surg. 2017;152(4):327−335. doi:10.1001/jamasurg.2016.4755.
32. van Oosten AF, Ding D, Habib JR, et al. Perioperative outcomes of robotic pancreaticoduodenectomy: a propensity- matched analysis to open and laparoscopic pancreaticoduodenectomy. J Gastrointest Surg. 2020. doi:10.1007/ s11605-020-04869-z.
33. Schmidt CR, Harris BR, Musgrove KA, et al. Formal robotic training diminishes the learning curve for robotic pancreatoduodenectomy: Implications for new programs in complex robotic surgery. J Surg Oncol. 2020. doi:10.1002/jso.26284.
34. Zwart MJW, Nota CLM, de Rooij T, et al. Outcomes of a multicenter training program in robotic pancreatoduodenectomy (LAELAPS-3). Annals of Surgery 2021. Publish ahead of print. doi:10.1097/ sla.0000000000004783.
35. Rice MK, Hodges JC, Bellon J, et al. Association of mentorship and a formal robotic proficiency skills curriculum with subsequent generation´s learning curve and safety for robotic pancreaticoduodenectomy. JAMA Surg. 2020;155(7):607−615. doi:10.1001/jamasurg.2020.1040.
36. Kamarajah SK, Gujjuri R, Bundred JR, et al. Long-term survival after minimally invasive resection versus open pancreaticoduodenectomy for periampullary cancers: a systematic review, meta-analysis and meta-regression. HPB (Oxford) 2021 Feb;23(2):197−205. doi:10.1016/j. hpb.2020.09.023.
37. Gottlieb-Vedi E, Kauppila JH, Malietzis G, et al. Long-term survival in esophageal cancer after minimally invasive compared to open esophagectomy: A systematic review and meta-analysis. Annals of Surgery 2019; 270(6):1005−1017. doi:10.1097/sla.0000000000003252.
38. Hong D, Cheng J, Wu W, et al. How to perform total laparoscopic duodenum- preserving pancreatic head resection safely and efficiently with innovative techniques. Ann Surg Oncol. 2020. Online ahead of print. doi:10.1245/s10434- 020-09233-8.
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