Minimally Invasive Pancreatectomy: Robotic and Laparoscopic Developments

Seth J Concors; Matthew H G Katz; Naruhiko Ikoma

doi:10.1016/j.soc.2022.10.009

Minimally Invasive Pancreatectomy: Robotic and Laparoscopic Developments

Surg Oncol Clin N Am. 2023 Apr;32(2):327-342. doi: 10.1016/j.soc.2022.10.009.

Authors

Seth J Concors¹, Matthew H G Katz², Naruhiko Ikoma³

Affiliations

¹ Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: https://twitter.com/SethConcorsMD.
² Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: https://twitter.com/MKatzMD.
³ Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler, FCT 17.6022, Houston, TX 77030, USA. Electronic address: nikoma@mdanderson.org.

PMID: 36925189
DOI: 10.1016/j.soc.2022.10.009

Abstract

Minimally invasive pancreatectomy is increasingly used. Although offering potential advantages over open approaches, minimally invasive pancreatectomy has many challenges to maintain high-quality of oncologic resection. Multiple patient and surgical factors should be considered in planning laparoscopic or robotic resection, including the learning curve required to produce proficiency. For pancreaticoduodenectomy, distal pancreatectomy, and other pancreatic resections, a safe, margin-negative resection remains the goal. National and societal guidelines for the adoption of minimally invasive pancreatectomy are ongoing and will continue to be important as these techniques are further adopted.

Keywords: Laparoscopy; Minimally invasive surgery; Pancreatectomy; Pancreatic neuroendocrine tumor; Robotic; Surgery.

Publication types

Review

MeSH terms

Humans
Laparoscopy* / methods
Pancreatectomy / methods
Pancreatic Neoplasms* / surgery
Robotic Surgical Procedures* / methods
Robotics* / methods
Treatment Outcome