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Minimally invasive distal pancreatectomy
Bård I Røsok1, Thijs de Rooij2, Jony van Hilst2
1Section for HPB Surgery, Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.
Summary
Minimally invasive distal pancreatectomy (MIDP) shows promising outcomes, with a tendency for less blood loss and shorter hospital stays compared to open distal pancreatectomy (ODP). Further research via an international registry is recommended due to limited evidence.
Area of Science:
- Gastroenterology and Surgical Oncology
- Minimally Invasive Surgical Techniques
Background:
- The first International conference on Minimally Invasive Pancreas Resection convened in 2016.
- Focused on minimally invasive distal pancreatectomy (MIDP) outcomes, including perioperative results, cancer outcomes, and patient selection.
Purpose of the Study:
- To summarize evidence on minimally invasive distal pancreatectomy (MIDP) outcomes.
- To compare MIDP with open distal pancreatectomy (ODP) based on existing literature.
Main Methods:
- A systematic literature search adhering to PRISMA guidelines was conducted.
- Patient selection for MIDP was informed by conference discussions and a global survey.
- Included 52 studies comparing outcomes for 5023 MIDP cases and 16,306 ODP cases.
Main Results:
- MIDP demonstrated similar overall outcomes to ODP.
- A trend towards reduced blood loss and shorter hospital stays was observed in the MIDP group.
- No randomized controlled trials were identified for comparison.
Conclusions:
- Current evidence comparing MIDP and ODP is limited but promising for MIDP.
- An international registry is proposed to gather more robust data in the absence of randomized trials.
