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Minimally Invasive Pancreatectomy: Robotic and Laparoscopic Developments.

Seth J Concors1, Matthew H G Katz2, Naruhiko Ikoma3

  • 1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: https://twitter.com/SethConcorsMD.

Surgical Oncology Clinics of North America
|March 16, 2023
PubMed
Summary

Minimally invasive pancreatectomy offers benefits but presents challenges in oncologic resection quality. Careful planning, considering patient and surgical factors like the learning curve, is crucial for safe, margin-negative pancreatic resections.

Keywords:
LaparoscopyMinimally invasive surgeryPancreatectomyPancreatic neuroendocrine tumorRoboticSurgery

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Minimally invasive pancreatectomy is gaining traction, presenting potential advantages over traditional open surgery.
  • However, achieving high-quality oncologic resection with minimally invasive techniques poses significant challenges.

Purpose of the Study:

  • To highlight the critical factors and challenges in performing high-quality oncologic resections using minimally invasive pancreatectomy.
  • To emphasize the importance of planning and proficiency in adopting these advanced surgical techniques.

Main Methods:

  • Review of current practices and challenges in minimally invasive pancreatectomy.
  • Consideration of patient-specific and surgical factors influencing outcomes.
  • Discussion of the learning curve associated with laparoscopic and robotic pancreatic surgery.

Main Results:

  • Minimally invasive pancreatectomy requires meticulous planning, integrating patient and surgical variables.
  • Achieving a safe, margin-negative resection remains the primary goal across all pancreatic resections, including pancreaticoduodenectomy and distal pancreatectomy.
  • Proficiency, influenced by a significant learning curve, is essential for successful outcomes.

Conclusions:

  • Minimally invasive pancreatectomy necessitates careful consideration of numerous factors to ensure oncologic safety and quality.
  • Ongoing development of national and societal guidelines is vital for the responsible adoption of these techniques.
  • Further research and standardization are needed to optimize minimally invasive approaches for pancreatic cancer surgery.