Evidence map›Paper›PMID 34240247›Full record

ArticleLangenbeck's archives of surgery2021

Technical progress in robotic pancreatoduodenectomy: TRIANGLE and periadventitial dissection for retropancreatic nerve plexus resection.

Benedict Kinny-Köster, Joseph R Habib, Ammar A Javed, Sami Shoucair, A Floortje van Oosten, Elliot K Fishman, Kelly J Lafaro, Christopher L Wolfgang, Thilo Hackert, Jin He

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Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. State-of-the-art surgery for pancreatic cancer.Langenbeck's archives of surgery · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Benedict Kinny-KösterDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Joseph R HabibDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ammar A JavedDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sami ShoucairDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
A Floortje van OostenDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elliot K FishmanDepartment of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kelly J LafaroDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Christopher L WolfgangDepartment of Surgery, New York University Grossman School of Medicine and NYU Langone Health, New York, NY, USA.
Thilo HackertDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Jin HeDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. jhe11@jhmi.edu.ORCID http://orcid.org/0000-0001-9149-2247

Funding

deutsche forschungsgemeinschaft KI 2437/2-1
6 · The paper itself

Abstract

purposeThe resection of retropancreatic nerve plexuses for pancreatic head cancer became standard of care during open pancreatoduodenectomy to minimize local recurrences. Since more surgical centers are progressing on the learning curve, robotically-assisted pancreatoduodenectomy is now increasingly performed with decreasing anatomic exclusion criteria. To achieve comparable and favorable oncologic outcomes, advanced surgical techniques should be transferred and implemented when performing robotic resections.

methodsThe nomenclature and anatomic principles of retropancreatic nerve plexuses and three different levels of dissections are utilized based on established definitions.

resultsThe en bloc dissection in the "TRIANGLE" area (triangular-shaped retropancreatic space enclosed by the common hepatic artery, superior mesenteric artery, and superior mesenteric vein/portal vein) and the periadventitial dissection of arteries for non-tunica media-invading tumors were executed robotically. Both can be utilized to achieve a radical dorsal and medial margin. Video recordings are provided to illustrate varying TRIANGLE dissections.

conclusionTo accomplish oncologic non-inferiority, established principles from open pancreatic resections can be incorporated precisely and safely, overcoming the lack of haptic feedback while exploiting the technological advantages of the robotically-assisted platform.

Indexed as

Pancreatic NeoplasmsRobotic Surgical ProceduresDissectionHumansPancreatectomyPancreaticoduodenectomyArterial divestmentLocal recurrenceNeoadjuvant chemotherapyPancreatic neoplasmPancreatic surgeryRobotic surgery

Identifiers

PMID34240247

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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.