Role of minimally invasive surgery in the management of localized pancreatic ductal adenocarcinoma: a review

被引：0

作者：

Kakati, Rasha T. ^{[1
]}

Naffouje, Samer ^{[2
]}

Spanheimer, Philip M. ^{[1
]}

Dahdaleh, Fadi S. ^{[3
]}

机构：

[1] Univ N Carolina, Dept Surg Oncol, Chapel Hill, NC USA

[2] Cleveland Clin Fdn, Dept Surg Oncol, Cleveland, OH USA

[3] Edward Elmhurst Hlth, Dept Surg Oncol, 120 Spalding Dr,Ste 205, Naperville, IL 60540 USA

来源：

JOURNAL OF ROBOTIC SURGERY | 2024年 / 18卷 / 01期

关键词：

Minimally invasive pancreatectomy; Pancreatic cancer; Outcomes; Laparoscopy; Robotic surgery; LAPAROSCOPIC DISTAL PANCREATECTOMY; TERM ONCOLOGIC OUTCOMES; ROBOTIC PANCREATICODUODENECTOMY; PERIOPERATIVE OUTCOMES; LONG-TERM; METAANALYSIS; MULTICENTER; RESECTIONS; EXPERIENCE; SURVIVAL;

D O I：

10.1007/s11701-024-01825-w

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Pancreatic ductal adenocarcinoma (PDAC) remains a highly lethal malignancy with a minority of patients eligible for curative-intent surgical intervention. Pancreatic resections are technically demanding operations associated with considerable morbidity and mortality. Minimally invasive pancreatic resections (MIPRs), which include laparoscopic and robotic approaches, may enhance postoperative outcomes by lessening physiological impact of open surgery. A limited number of randomized-controlled trials as well as numerous retrospective reports have focused on MIPR outcomes and role in management of a variety of tumors, including PDAC. Today, MIPRs are generally considered acceptable alternatives to open surgery as a trend towards improved short-term metrics is observed. However, several questions remain regarding the oncological adequacy of MIPR's as long-term experience is less extensive compared to open techniques. This review aims to summarize existing evidence on MIPRs with a focus on PDAC.

引用

页数：16

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