Minimally Invasive Surgery of Pancreatic Cancer: Feasibility and Rationale

被引:13
作者
Bausch, Dirk [1 ]
Keck, Tobias [1 ]
机构
[1] Univ Med Ctr Schleswig Holstein Campus Lubeck, Dept Surg, Ratzeburger Allee 160, D-23568 Lubeck, Germany
关键词
Pancreatic cancer; Minimally invasive surgery; Robotic surgery; Laparoscopic surgery; OPEN DISTAL PANCREATECTOMY; PANCREATICODUODENECTOMY; REGISTRY;
D O I
10.1159/000495324
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Minimally invasive pancreatic procedures, in particular minimally invasive pancreaticoduodenectomy, are amongst the most technically challenging procedures in general surgery. Accordingly, a high number of cases is required to master the procedures. Minimally invasive pancreatic surgery is well established for benign and premalignant lesions of the pancreas. Borderline resectable tumors with infiltration of the portal vein are also resected minimally invasively in specialized centers with appropriate expertise. Retrospective and registry studies demonstrate an equivalent long-term survival compared to conventional surgery. Perioperative morbidity and mortality are also equivalent, whereas minimally invasive surgery significantly reduces hospital stay. We expect more widespread use of minimally invasive pancreatic procedures in large centers. (C) 2018 S. Karger GmbH, Freiburg
引用
收藏
页码:440 / 443
页数:4
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