TY - JOUR
T1 - Minimally invasive distal pancreatectomy
AU - the Organizing Committee for the State of the Art Conference on Minimally Invasive Pancreas Resection
AU - Røsok, Bård I.
AU - de Rooij, Thijs
AU - van Hilst, Jony
AU - Diener, Markus K.
AU - Allen, Peter J.
AU - Vollmer, Charles M.
AU - Kooby, David A.
AU - Shrikhande, Shailesh V.
AU - Asbun, Horacio J.
AU - Barkun, Jeffrey
AU - Besselink, Marc G.
AU - Boggi, Ugo
AU - Conlon, Kevin
AU - Han, Ho Seong
AU - Hansen, Paul
AU - Kendrick, Michael L.
AU - Kooby, David
AU - Montagnini, Andre L.
AU - Palanivelu, Chinnasamy
AU - Røsok, Bård I.
AU - Shrikhande, Shailesh V.
AU - Wakabayashi, Go
AU - Zeh, Herbert J.
N1 - Publisher Copyright:
© 2017 International Hepato-Pancreato-Biliary Association Inc.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background The first International conference on Minimally Invasive Pancreas Resection was arranged in conjunction with the annual meeting of the International Hepato-Pancreato-Biliary Association (IHPBA), in Sao Paulo, Brazil on April 19th 2016. The presented evidence and outcomes resulting from the session for minimally invasive distal pancreatectomy (MIDP) is summarized and addressed perioperative outcome, the outcome for cancer and patient selection for the procedure. Methods A literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to compare MIDP and open distal pancreatectomy. Patient selection was discussed based on plenary talks, panel discussions and a worldwide survey on MIDP. Results Of 582 studies, 52 (40 observational and 12 case-matched) were included in the assessment for outcome for LDP (n = 5023) vs. ODP (n = 16,306) whereas 16 observational comparative studies were identified for cancer outcome. No randomized trials were identified. MIDP resulted in similar outcome to ODP with a tendency for lower blood loss and shorter hospital stay in the MIDP group. Discussion Available evidence for comparison of MIDP to ODP is weak, although the number of studies is high. Observed outcomes of MIDP are promising. In the absence of randomized control trials, an international registry should be established.
AB - Background The first International conference on Minimally Invasive Pancreas Resection was arranged in conjunction with the annual meeting of the International Hepato-Pancreato-Biliary Association (IHPBA), in Sao Paulo, Brazil on April 19th 2016. The presented evidence and outcomes resulting from the session for minimally invasive distal pancreatectomy (MIDP) is summarized and addressed perioperative outcome, the outcome for cancer and patient selection for the procedure. Methods A literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to compare MIDP and open distal pancreatectomy. Patient selection was discussed based on plenary talks, panel discussions and a worldwide survey on MIDP. Results Of 582 studies, 52 (40 observational and 12 case-matched) were included in the assessment for outcome for LDP (n = 5023) vs. ODP (n = 16,306) whereas 16 observational comparative studies were identified for cancer outcome. No randomized trials were identified. MIDP resulted in similar outcome to ODP with a tendency for lower blood loss and shorter hospital stay in the MIDP group. Discussion Available evidence for comparison of MIDP to ODP is weak, although the number of studies is high. Observed outcomes of MIDP are promising. In the absence of randomized control trials, an international registry should be established.
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U2 - 10.1016/j.hpb.2017.01.009
DO - 10.1016/j.hpb.2017.01.009
M3 - Review article
C2 - 28215903
AN - SCOPUS:85012920025
SN - 1365-182X
VL - 19
SP - 205
EP - 214
JO - HPB
JF - HPB
IS - 3
ER -