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Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps

Minimally invasive pancreatoduodenectomy has gained popularity throughout the last decade. For laparoscopic pancreatoduodenectomy, some high-level evidence exists, but with conflicting results. There are currently no published randomized controlled trials comparing robotic and open pancreatoduodenec...

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Autores principales: Ghotbi, Jacob, Sahakyan, Mushegh, Søreide, Kjetil, Fretland, Åsmund Avdem, Røsok, Bård, Tholfsen, Tore, Waage, Anne, Edwin, Bjørn, Labori, Knut Jørgen, Yaqub, Sheraz, Kleive, Dyre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681949/
https://www.ncbi.nlm.nih.gov/pubmed/35829933
http://dx.doi.org/10.1007/s40487-022-00203-6
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author Ghotbi, Jacob
Sahakyan, Mushegh
Søreide, Kjetil
Fretland, Åsmund Avdem
Røsok, Bård
Tholfsen, Tore
Waage, Anne
Edwin, Bjørn
Labori, Knut Jørgen
Yaqub, Sheraz
Kleive, Dyre
author_facet Ghotbi, Jacob
Sahakyan, Mushegh
Søreide, Kjetil
Fretland, Åsmund Avdem
Røsok, Bård
Tholfsen, Tore
Waage, Anne
Edwin, Bjørn
Labori, Knut Jørgen
Yaqub, Sheraz
Kleive, Dyre
author_sort Ghotbi, Jacob
collection PubMed
description Minimally invasive pancreatoduodenectomy has gained popularity throughout the last decade. For laparoscopic pancreatoduodenectomy, some high-level evidence exists, but with conflicting results. There are currently no published randomized controlled trials comparing robotic and open pancreatoduodenectomy. Comparative long-term data for patients with pancreatic ductal adenocarcinoma is lacking to date. Based on the existing evidence, current observed benefits of minimally invasive pancreatoduodenectomy over open pancreatoduodenectomy seem scarce, but retrospective data indicate the safety of these procedures in selected patients. As familiarity with the robotic platform increases, studies have shown an expansion in indications, also including patients with vascular involvement and even indicating favorable results in patients with obesity and high-risk morphometric features. Several ongoing randomized controlled trials aim to investigate potential differences in short- and long-term outcomes between minimally invasive and open pancreatoduodenectomy. Their results are much awaited.
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spelling pubmed-96819492022-11-24 Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps Ghotbi, Jacob Sahakyan, Mushegh Søreide, Kjetil Fretland, Åsmund Avdem Røsok, Bård Tholfsen, Tore Waage, Anne Edwin, Bjørn Labori, Knut Jørgen Yaqub, Sheraz Kleive, Dyre Oncol Ther Commentary Minimally invasive pancreatoduodenectomy has gained popularity throughout the last decade. For laparoscopic pancreatoduodenectomy, some high-level evidence exists, but with conflicting results. There are currently no published randomized controlled trials comparing robotic and open pancreatoduodenectomy. Comparative long-term data for patients with pancreatic ductal adenocarcinoma is lacking to date. Based on the existing evidence, current observed benefits of minimally invasive pancreatoduodenectomy over open pancreatoduodenectomy seem scarce, but retrospective data indicate the safety of these procedures in selected patients. As familiarity with the robotic platform increases, studies have shown an expansion in indications, also including patients with vascular involvement and even indicating favorable results in patients with obesity and high-risk morphometric features. Several ongoing randomized controlled trials aim to investigate potential differences in short- and long-term outcomes between minimally invasive and open pancreatoduodenectomy. Their results are much awaited. Springer Healthcare 2022-07-12 /pmc/articles/PMC9681949/ /pubmed/35829933 http://dx.doi.org/10.1007/s40487-022-00203-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Commentary
Ghotbi, Jacob
Sahakyan, Mushegh
Søreide, Kjetil
Fretland, Åsmund Avdem
Røsok, Bård
Tholfsen, Tore
Waage, Anne
Edwin, Bjørn
Labori, Knut Jørgen
Yaqub, Sheraz
Kleive, Dyre
Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title_full Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title_fullStr Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title_full_unstemmed Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title_short Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
title_sort minimally invasive pancreatoduodenectomy: contemporary practice, evidence, and knowledge gaps
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681949/
https://www.ncbi.nlm.nih.gov/pubmed/35829933
http://dx.doi.org/10.1007/s40487-022-00203-6
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