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Laparoscopic pancreatoduodenectomy

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https://www.readbyqxmd.com/read/29878696/cost-effectiveness-of-minimally-invasive-pancreatic-resection
#1
REVIEW
Katharina Joechle, Claudius Conrad
While clinical outcomes of minimally invasive pancreatic resection (MIPR) compared to open surgery are well examined, only few studies focus on its associated cost. The aim of this study is to evaluate cost analyses comparing MIPR to open pancreatic resection (OPR). A systematic review of the literature using PubMed of all published studies between 2000 and 2017 was performed. Studies reporting on cost of laparoscopic distal pancreatectomy (LDP) and laparoscopic pancreatoduodenectomy (LPD) compared to open surgery were identified...
June 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/29864089/outcomes-after-minimally-invasive-versus-open-pancreatoduodenectomy-a-pan-european-propensity-score-matched-study
#2
Sjors Klompmaker, Jony van Hilst, Ulrich F Wellner, Olivier R Busch, Andrea Coratti, Mathieu D'Hondt, Safi Dokmak, Sebastiaan Festen, Mustafa Kerem, Igor Khatkov, Daan J Lips, Carlo Lombardo, Misha Luyer, Alberto Manzoni, Izaäk Q Molenaar, Edoardo Rosso, Olivier Saint-Marc, Franky Vansteenkiste, Uwe A Wittel, Bert Bonsing, Bas Groot Koerkamp, Mohammed Abu Hilal, David Fuks, Ignasi Poves, Tobias Keck, Ugo Boggi, Marc G Besselink
OBJECTIVE: To assess short-term outcomes after minimally invasive (laparoscopic, robot-assisted, and hybrid) pancreatoduodenectomy (MIPD) versus open pancreatoduodenectomy (OPD) among European centers. BACKGROUND: Current evidence on MIPD is based on national registries or single expert centers. International, matched studies comparing outcomes for MIPD and OPD are lacking. METHODS: Retrospective propensity score matched study comparing MIPD in 14 centers (7 countries) performing ≥10 MIPDs annually (2012-2017) versus OPD in 53 German/Dutch surgical registry centers performing ≥10 OPDs annually (2014-2017)...
June 1, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29807171/oncological-outcome-of-laparoscopically-assisted-pancreatoduodenectomy-for-ductal-adenocarcinoma-in-a-retrospective-cohort-study
#3
Simon Kuesters, Sophia Chikhladzen, Frank Makowiec, Olivia Sick, Stefan Fichtner-Feigl, Ulrich T Hopt, Uwe A Wittel
INTRODUCTION: Laparoscopic resections of the pancreatic head are increasingly performed. Several studies show that they are comparable to open operations in terms of postoperative morbidity. However, since a substantial proportion of pancreatic head resections are necessary for pancreatic adenocarcinoma the oncologic safety and outcome of minimally invasive operations is of interest. In this study we evaluated oncologic outcome and survival after laparoscopically assisted pancreatic head resection for ductal adenocarcinoma...
May 25, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29719907/perioperative-and-long-term-oncological-results-of-minimally-invasive-pancreatoduodenectomy-as-hybrid-technique-a-matched-pair-analysis-of-120-cases
#4
Steffen Deichmann, Louisa Romina Bolm, Kim Christin Honselmann, Ulrich Friedrich Wellner, Hryhoriy Lapshyn, Tobias Keck, Dirk Bausch
BACKGROUND: Laparoscopic pancreatoduodenectomy is a highly challenging procedure. The aim of this study was to analyse post-operative morbidity and mortality as well as long term overall survival in patients undergoing hybrid LPD, as compared to open pancreaticoduodenecomy (OPD) in a single surgeon series. METHODS: Patients undergoing pancreatoduodenectomy (PD) in the period from 2000 to 2015 were identified from a prospectively maintained database. All LPD procedures were performed by one specialised pancreatic surgeon (TK)...
April 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29502049/-a-single-team-experience-with-robotic-pancreatic-surgery-in-1010-cases
#5
Rong Liu, Guo-Dong Zhao, Wen-Bo Tang, Ke-di Zhang, Zhi-Ming Zhao, Yuan-Xing Gao, Ming-Gen Hu, Cheng-Gang Li, Xiang-Long Tan, Xuan Zhang
OBJECTIVE: To assess the safety and advantages of robotic pancreatic surgery (RPS) based on the single-team experience with 1010 cases. METHODS: The clinical data of 1010 cases of RPS performed by a single team from November, 2011 to September, 2017 in our hospital were collected prospectively and analyzed. In most of cases the surgeries were performed using the third-generation da Vinci robotic surgical system. RESULTS: The 1010 cases receiving RPS included 417 cases of robotic pancreatoduodenectomy (RPD), 428 cases of robotic distal pancreatectomy, 60 cases of robotic central pancreatectomy, 53 cases of robotic pancreatic tumor enucleation, 3 cases of Appleby procedure, and 49 cases of other operations (including 4 cases of innovative robotic retroperitoneal laparoscopic surgery, 4 cases of robotic pancreatic tumor enucleation combined with main pancreatic duct bridging repair, 1 case of single incision robotic pancreatic tumor enucleation, and 2 cases of robotic central pancreatectomy combined with end-to-end anastomosis reconstruction)...
February 20, 2018: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/29501019/two-stage-resection-of-a-bilateral-pheochromocytoma-and-pancreatic-neuroendocrine-tumor-in-a-patient-with-von-hippel-lindau-disease-a-case-report
#6
Yutaka Endo, Minoru Kitago, Akira Miyajima, Isao Kurihara, Kaori Kameyama, Masahiro Shinoda, Hiroshi Yagi, Yuta Abe, Taizo Hibi, Chisato Takagi, Yutaka Nakano, Wataru Koizumi, Osamu Itano, Yuko Kitagawa
INTRODUCTION: von Hippel-Lindau disease (vHL disease) is a hereditary disease in which tumors and cysts develop in many organs, in association with central nervous system hemangioblastomas, pheochromocytomas, and pancreatic tumors. We herein report a case of vHL disease (type 2A) associated with bilateral pheochromocytomas, pancreatic neuroendocrine tumors (PNET), and cerebellar hemangioblastomas treated via pancreatectomy after adrenalectomy. CASE PRESENTATION: A 51-year-old woman presented with a cerebellar tumor, bilateral hypernephroma, and pancreatic tumor detected during a medical checkup...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29454444/minimally-invasive-pancreatoduodenectomy-is-the-incidence-of-clinically-relevant-postoperative-pancreatic-fistula-comparable-to-that-after-open-pancreatoduodenectomy
#7
Olga Kantor, Henry A Pitt, Mark S Talamonti, Kevin K Roggin, David J Bentrem, Richard A Prinz, Marshall S Baker
BACKGROUND: Studies evaluating the efficacy of minimally invasive approaches to pancreatoduodenectomy (MIS-PD) compared to open pancreatioduodenectomy (OPD) have been limited by selection bias and mixed outcomes. METHODS: ACS-NSQIP 2014-2015 pancreas procedure-targeted data were used to identify patients undergoing PD. Intention-to-treat analysis was performed. RESULTS: Of 7907 PD patients, 1277 (16%) underwent MIS-PD: 776 (61%) robotic or laparoscopic PD, 304 (24%) hybrid, and 197 (15%) unplanned conversions...
March 2018: Surgery
https://www.readbyqxmd.com/read/29412232/laparoscopic-versus-open-pylorus-preserving-pancreatoduodenectomy-the-first-meta-analyse-of-retrospective-matched-cases
#8
REVIEW
Liwei Pang, Jing Kong, Yuwen Wang, Yan Zhang
PURPOSE: To compare the safety, feasibility, and short-term clinical benefits of laparoscopic pylorus-preserving pancreaticoduodenectomy (L-PPPD) to open pylorus-preserving pancreaticoduodenectomy (O-PPPD) through retrospective matched cases. METHODS: Web of Science, Cochrane, PubMed, CNKI were searched systematically identify studies published between January and December 2017 comparing L-PPPD to O-PPPD. The meta-analysis was performed by using Review Manager 5...
January 2018: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/29298706/minimally-invasive-versus-open-pancreatoduodenectomy-leopard-2-study-protocol-for-a-randomized-controlled-trial
#9
Thijs de Rooij, Jony van Hilst, Koop Bosscha, Marcel G Dijkgraaf, Michael F Gerhards, Bas Groot Koerkamp, Jeroen Hagendoorn, Ignace H de Hingh, Tom M Karsten, Daan J Lips, Misha D Luyer, I Quintus Molenaar, Hjalmar C van Santvoort, T C Khé Tran, Olivier R Busch, Sebastiaan Festen, Marc G Besselink
BACKGROUND: Data from observational studies suggest that minimally invasive pancreatoduodenectomy (MIPD) is superior to open pancreatoduodenectomy regarding intraoperative blood loss, postoperative morbidity, and length of hospital stay, without increasing total costs. However, several case-matched studies failed to demonstrate superiority of MIPD, and large registry studies from the USA even suggested increased mortality for MIPDs performed in low-volume (<10 MIPDs annually) centers...
January 3, 2018: Trials
https://www.readbyqxmd.com/read/29174774/do-not-break-up-the-surgical-team-familiarity-and-expertise-affect-operative-time-in-complex-surgery
#10
Eric J Finnesgard, T K Pandian, Michael L Kendrick, David R Farley
BACKGROUND: The effects of replacing a surgeon's familiar, experienced certified surgical assistant (CSA) on perioperative outcomes in complex surgery were investigated. METHODS: An interrupted time series of totally laparoscopic pancreatoduodenectomies performed by a single surgeon was retrospectively studied. Segmented regression analysis estimated replacement effects on estimated blood loss (EBL) and operative time. RESULTS: The cohort was composed of the last 100 cases with the familiar CSA and the first 100 cases with the replacement CSA...
March 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29099400/outcomes-of-a-multicenter-training-program-in-laparoscopic-pancreatoduodenectomy-laelaps-2
#11
Thijs de Rooij, Jony van Hilst, Baki Topal, Koop Bosscha, David J Brinkman, Michael F Gerhards, Ignace H de Hingh, Tom M Karsten, Daan J Lips, Misha D Luyer, Hendrik A Marsman, L Bengt van Rijssen, M Willemijn Steen, Olivier R Busch, Sebastiaan Festen, Marc G Besselink
OBJECTIVE: The aim of the study was to assess feasibility and outcomes of a multicenter training program in laparoscopic pancreatoduodenectomy (LPD). BACKGROUND: Whereas expert centers have reported promising outcomes of LPD, nationwide analyses have raised concerns on its safety, especially during the learning curve. Multicenter, structured LPD training programs reporting outcomes including the first procedures are lacking. No LPD had been performed in the Netherlands before this study...
November 2, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28895142/randomized-clinical-trial-of-laparoscopic-versus-open-pancreatoduodenectomy-for-periampullary-tumours
#12
RANDOMIZED CONTROLLED TRIAL
C Palanivelu, P Senthilnathan, S C Sabnis, N S Babu, S Srivatsan Gurumurthy, N Anand Vijai, V P Nalankilli, P Praveen Raj, R Parthasarathy, S Rajapandian
BACKGROUND: Laparoscopic resection as an alternative to open pancreatoduodenectomy may yield short-term benefits, but has not been investigated in a randomized trial. The aim of this study was to compare laparoscopic and open pancreatoduodenectomy for short-term outcomes in a randomized trial. METHODS: Patients with periampullary cancers were randomized to either laparoscopic or open pancreatoduodenectomy. The outcomes evaluated were hospital stay (primary outcome), and blood loss, radicality of surgery, duration of operation and complication rate (secondary outcomes)...
October 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28867529/one-hundred-and-forty-five-total-laparoscopic-pancreatoduodenectomies-a-single-centre-experience
#13
Igor Khatkov, Roman Izrailov, Pavel Tyutyunnik, Artur Khisamov, Alexey Andrianov, Abe Fingerhut
INTRODUCTION: Laparoscopic pancreatoduodenectomy (LPD) remains one of the most challenging minimal invasive operations today. PATIENTS AND METHODS: Between January 2007 and December 2016, 197 patients were scheduled for LPD but 162 patients (from January 2007 to July 2016) were analysed in this cohort series. RESULTS: Total LPD concerned for 162 patients (five patients did not undergo PD and 12 underwent conversion): standard LPD in 104 patients (66%), and laparoscopic pylorus-preserving PD in 41 patients (26%)...
November 2017: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/28842736/-minimally-invasive-and-robot-assisted-surgery-for-pancreatic-cystic-tumors
#14
REVIEW
T Welsch, M Distler, J Weitz
BACKGROUND: The indications for resection of pancreatic cystic lesions (PCL) are often complex and the operative risk has to be balanced against the risk of malignant transformation. The aim of the study was to provide a synopsis of the current treatment results of minimally invasive surgery for PCL. METHODS: A systematic literature search was performed using the Medline database (PubMed). Subsequently, the retrieved literature was selectively reviewed. RESULTS: No published prospective randomized controlled trials have yet addressed the comparison of open and minimally invasive surgery of PCL; however, retrospective case studies have demonstrated the feasibility, safety and a comparable morbidity after minimally invasive distal pancreatectomy (DP), pancreatoduodenectomy (PD), central (CP) or total pancreatectomy and enucleation...
November 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28699023/laparoscopic-uncinate-process-first-pancreatoduodenectomy-feasibility-study-of-a-modified-artery-first-approach-to-pancreatic-head-cancer
#15
Michał Pędziwiatr, Magdalena Pisarska, Piotr Małczak, Piotr Major, Mateusz Wierdak, Dorota Radkowiak, Jan Kulawik, Marcin Dembiński, Andrzej Budzyński
PURPOSE: The aim of this study was to discuss the feasibility of laparoscopic 'uncinate first' pancreatoduodenectomy. METHODS: The analysis included prospectively collected data from 12 consecutive patients undergoing elective pure laparoscopic 'uncinate process first' pancreatoduodenectomy (Group 1). They were compared with patients previously operated on with a classical laparoscopic approach (Group 2). The primary outcome was the quality of the resected specimen (lymph node (LN) yield, R0 rate, involved resection margins)...
September 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28567575/analysis-of-the-cost-effectiveness-of-laparoscopic-pancreatoduodenectomy
#16
Michael H Gerber, Daniel Delitto, Cristina J Crippen, Thomas J George, Kevin E Behrns, Jose G Trevino, Jessica L Cioffi, Steven J Hughes
OBJECTIVE: We sought to determine if laparoscopic pancreatoduodenectomy (LPD) is a cost-effective alternative to open pancreatoduodenectomy (OPD). METHODS: Hospital cost data, discharge disposition, readmission rates, and readmission costs from periampullary cancer patient cohorts of LPD and OPD were compared. The surgical cohorts over a 40-month period were clinically similar, consisting of 52 and 50 patients in the LPD and OPD groups, respectively. RESULTS: The total operating room costs were higher in the LPD group as compared to the OPD group (median US$12,290 vs US$11,299; P = 0...
September 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28464573/-the-optimization-of-surgical-approach-selection-and-technical-process-in-total-laparoscopic-pancreatoduodenectomy
#17
R Y Qin
The optimization of surgical approach selection and technical process, and methods of operation safety and radical resection the tumor by total laparoscopic pancreatoduodenectomy are important topics to be explored. Based on practical experiences, the optimization measures of surgical approach selection and technical process in total laparoscopic pancreatoduodenectomy are investigated and described.
May 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28414116/the-largest-european-single-center-experience-300-laparoscopic-pancreatic-resections
#18
Safi Dokmak, Fadhel Samir Ftériche, Béatrice Aussilhou, Philippe Lévy, Philippe Ruszniewski, Jérome Cros, Marie Pierre Vullierme, Linda Khoy Ear, Jacques Belghiti, Alain Sauvanet
BACKGROUND: Although laparoscopic pancreatic resection (LPR) has become routine, large single-center series are still lacking. Our aim was to analyze the results of a large European single-center series of LPR. STUDY DESIGN: Between January 2008 and September 2015, 300 LPRs were performed and studied prospectively, including 165 (55%) distal pancreatectomies, 68 (23%) pancreaticoduodenectomies (PDs), 30 (10%) enucleations, 35 (11%) central pancreatectomies, and 2 (1%) total pancreatectomies...
August 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28326457/minimally-invasive-surgical-approaches-for-pancreatic-adenocarcinoma-recent-trends
#19
REVIEW
Georgios D Lianos, Dimitrios K Christodoulou, Konstantinos H Katsanos, Christos Katsios, Georgios K Glantzounis
BACKGROUND: Pancreatic resection for cancer represents a real challenge for every surgeon. Recent improvements in laparoscopic experience, minimally invasive surgical techniques and instruments make now the minimally invasive approach a real "triumph." There is no doubt that minimally invasive surgery has replaced with great success conventional surgery in many fields, including surgical oncology. METHODS AND RESULTS: However, its progress in pancreatic resection for adenocarcinoma has been dramatically slow...
June 2017: Journal of Gastrointestinal Cancer
https://www.readbyqxmd.com/read/28317657/standardizing-terminology-for-minimally-invasive-pancreatic-resection
#20
REVIEW
Andre L Montagnini, Bård I Røsok, Horacio J Asbun, Jeffrey Barkun, Marc G Besselink, Ugo Boggi, Kevin C P Conlon, Abe Fingerhut, Ho-Seong Han, Paul D Hansen, Melissa E Hogg, Michael L Kendrick, Chinnusamy Palanivelu, Shailesh V Shrikhande, Go Wakabayashi, Herbert Zeh, Charles M Vollmer, David A Kooby
BACKGROUND: There is a growing body of literature pertaining to minimally invasive pancreatic resection (MIPR). Heterogeneity in MIPR terminology, leads to confusion and inconsistency. The Organizing Committee of the State of the Art Conference on MIPR collaborated to standardize MIPR terminology. METHODS: After formal literature review for "minimally invasive pancreatic surgery" term, key terminology elements were identified. A questionnaire was created assessing the type of resection, the approach, completion, and conversion...
March 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
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