Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?

Posted On 2020-08-19 10:50:38


Mini-invasive approach has become the standard for many abdominal procedures such as chole-cystectomy, colectomy, liver resection, etc. Can we say that Mini-invasive pancreaticoduodenec-tomy (MIPD) should be considered the standard of care and that open pancreaticoduodenectomy (OPD) should be limited to selected cases? Not yet. There still be a lack of convincing, high-quality data showing transformative benefit in clinical outcomes or cost as seen with other surgical procedures previously performed exclusively by open approach. However, several publications from all around the world suggest subtle benefit over OPD, when the procedure is performed in experts Centers. The scientific evidence underlines that to perform MIPD safely and with better results than OPD: hospital volume, surgeon volume, specific training, and long learning curve mat-ters. In this series, several experts discussed some of hottest topics in the field of MIPD.

Editorial on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” inter-vention to be considered the standard?
Is mini-invasive pancreaticoduodenectomy a niche surgery?
Edoardo Rosso

Original Article on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasi-ble” intervention to be considered the standard?
Laparoscopic pancreaticojejunal anastomosis using knotless barbed absorbable sutures are simple, safe and effective: an experience with 34 procedures
Juan Santiago Azagra, Silviu-Tiberiu Makkai-Popa, Beniamino Pascotto, Luca Arru, Vito De Blasi, Jose Manuel Ramia, Francisco Javier Ibanez-Aguirre, Martine Goergen

Editorial on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” inter-vention to be considered the standard?
Mini-invasive pancreaticogastrostomy
Edoardo Rosso, Giuseppe Zimmitti, Antonio Iannelli, Mohammed Abu Hilal

Review Article on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?
Standard minimally invasive pancreaticoduodenectomy
Jun Suh Lee, Yoo-Seok Yoon, Ho-Seong Han, Junyub Kim, Boram Lee, Hae-Won Lee, Jai Young Cho

Original Article on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasi-ble” intervention to be considered the standard?
Robot-assisted pancreaticoduodenectomy with vascular resection: technical details and re-sults from a high-volume center
Emanuele Federico Kauffmann, Niccolò Napoli, Francesca Menonna, Valerio Genovese, Concetta Cacace, Cacciato Insilla Andrea, Campani Daniela, Fabio Vistoli, Gabriella Amorese, Ugo Boggi

Review Article on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?
Robotic pancreaticoduodenectomy versus laparoscopic pancreaticoduodenectomy
David J. Jiang, Melissa E. Hogg

Devil’s advocate: is there any real advantage of mini-invasive pancreaticoduodenectomy ver-sus open pancreaticoduodenectomy?
Pietro Addeo

Brief Report on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?
Should obesity be considered a contraindication to mini-invasive pancreaticoduodenectomy?
Antonio Iannelli, Sebastien Frey, Tarek Debs, Edoardo Rosso

Editorial Commentary on Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?
Radicality during pancreaticoduodenectomy: focus on Mesopancreas resection
Edoardo Rosso, Giuseppe Zimmitti, Antonio Iannelli, Mohammed Abu Hilal

Disclosure:
The series “Mini-invasive pancreaticoduodenectomy: are we moving from a “feasible” intervention to be considered the standard?” was commissioned by the editorial office, Laparoscopic Surgery without any sponsorship or funding. Edoardo Rosso served as the unpaid Guest Editor for the series.