ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2008
Laparoscopic vs. open resection of noninvasive intraductal pancreatic mucinous neoplasms.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Surgical methods influence on the risk of anastomotic fistula after pancreaticoduodenectomy: a systematic review and network meta-analysis.Surgical endoscopy · 2023Pooled it
- Minimally invasive versus open pancreatoduodenectomy-systematic review and meta-analysis.Langenbeck's archives of surgery · 2017Pooled it
- Laparoscopic versus open distal pancreatectomy for pancreatic cancer.The Cochrane database of systematic reviews · 2016Pooled it
- Does minimally-invasive pancreaticoduodenectomy have advantages over its open method? A meta-analysis of retrospective studies.PloS one · 2014Pooled it
- Laparoscopic pancreaticoduodenectomy and distal pancreatectomy: a UK experience and a systematic review of the literature.Surgical endoscopy · 2011Pooled it
- Laparoscopic pancreaticoduodenectomy: single-surgeon experience.Surgical endoscopy · 2015Trial
- International expert consensus on laparoscopic pancreaticoduodenectomy.Hepatobiliary surgery and nutrition · 2020Review
- Predictors and outcomes of converted minimally invasive pancreaticoduodenectomy: a propensity score matched analysis.Surgical endoscopy · 2020Article
- Association between chronological depressive changes and physical symptoms in postoperative pancreatic cancer patients.BioPsychoSocial medicine · 2018Article
- Minimally Invasive Surgical Approaches for Pancreatic Adenocarcinoma: Recent Trends.Journal of gastrointestinal cancer · 2017Review
- A Propensity Score-Matched Analysis of Robotic vs Open Pancreatoduodenectomy on Incidence of Pancreatic Fistula.JAMA surgery · 2017Article
- Intraductal Papillary Mucinous Neoplasm of Pancreas.North American journal of medical sciences · 2015Review
- Distal pancreatic resection for neuroendocrine tumors: is laparoscopic really better than open?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
- Laparoscopic pancreatectomy: indications and outcomes.World journal of gastroenterology · 2014Review
- IPMN: surgical treatment.Langenbeck's archives of surgery · 2013Review
- 200 consecutive laparoscopic pancreatic resections performed with a robotically controlled laparoscope holder.Surgical endoscopy · 2013Article
- Intraductal papillary mucinous neoplasms of the pancreas: is the puzzle solved?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2013Review
- Laparoscopic minor pancreatic resections (enucleations/atypical resections). A long-term appraisal of a supposed mini-invasive approach.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2013Article
- One hundred thirty resections for pancreatic neuroendocrine tumor: evaluating the impact of minimally invasive and parenchyma-sparing techniques.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Article
- [Cystic tumors of the pancreas].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Required resection margins for noninvasive intraductal papillary mucinous neoplasms (IPMNs) are a controversial issue. Over a 10-year period we have resected IPMNs from the entire pancreatic gland with minimally invasive techniques and compared our survival and complication rates with open controls to see if any difference in resection margins and outcomes could be observed. Data were collected retrospectively, including our first cases of advanced laparoscopic resections. Five-year Kaplan-Meier curves were calculated and statistical analysis was performed using the log rank and Student's T test for continuous variables. Chi square and Fisher's exact tests were used for analyzing categorical variables. From March 1997 to February 2006, we operated on 22 patients with noninvasive IPMNs, of which 9 (41%) were operated on laparoscopically and 13 (59%) using open techniques. Three patients underwent laparoscopic duodenopancreatectomy, compared to five in the open group. All resection margins were negative, but two patients required total pancreatectomy, both of which were performed laparoscopically. One of these was converted to open (11%) because of difficulty in reconstructing the biliary anastomosis. The overall complication rates were 56% for the laparoscopic group and 85% for the open group. Twenty-two percent of the laparoscopic group required reoperation and 11% required percutaneous drainage, compared to 15 and 23% in the open group, respectively. All patients are alive after a mean of 20 months (range = 2-43) in the laparoscopic group and 37 months (range = 1-121) in the open one (p > 0.05). Laparoscopic resection of noninvasive IPMNs of the entire pancreatic gland has similar complication and survival rates as open procedures. As a result, the laparoscopic approach is appropriate for noninvasive IPMNs of the entire pancreatic gland; however, larger cohorts are needed to see if any approach has superior outcomes. Because of these favorable results, studies are currently underway to see if the minimally invasive approach is also appropriate for invasive IPMNs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.