Evidence map›Paper›PMID 39616549›Full record

ArticleJournal of surgical oncology2025

A Comparative Analysis of Open Versus Minimally Invasive Pancreatoduodenectomies.

Catherine S Valukas, Norah M Zaza, Dominic Vitello, David D Odell, Ryan Merkow, David J Bentrem

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Catherine S ValukasNorthwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Department of Surgery, Northwestern Medicine, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-9899-6058
Norah M ZazaNorthwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Department of Surgery, Northwestern Medicine, Chicago, Illinois, USA.
Dominic VitelloNorthwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Department of Surgery, Northwestern Medicine, Chicago, Illinois, USA.
David D OdellDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Ryan MerkowNorthwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Department of Surgery, Northwestern Medicine, Chicago, Illinois, USA.
David J BentremNorthwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Department of Surgery, Northwestern Medicine, Chicago, Illinois, USA.

Funding

COllaborative Northwestern Surgical Oncology Research Training (CONSORT)T32CA247801 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T., KHAN, SEEMA AHSAN · 2020 to 2024
$1.3M
NCI NIH HHS T32 CA247801This research was supported by Northwestern University, the National Cancer Institute and the National Institutes of Health under the T32 training grant, award number 5T32CA247801-04.
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPancreatoduodenectomy (PD) has been associated with significant morbidity and mortality. To reduce morbidity, minimally invasive pancreatoduodenectomies (MIPD) have become more prevalent. We aimed to compare short-term survival and complications for open (OPD) versus MIPD and to assess the relationship between operative approach and operative time on outcomes.

methodsPatients undergoing PD between 2017 and 2020 were identified within the National Surgical Quality Improvement Program (NSQIP). The primary outcome was operative time, and the secondary outcomes were death at 30 days, reoperation, readmission, and NSQIP-identified 30-day postoperative complications. A multivariable logistic regression was performed.

resultsA total of 14 977 PDs were performed from 2017 to 2020. MIPD increased from less than 8% of pancreatoduodenectomies performed in 2017 to over 10% of PD by 2020. Of the MIPD cohort, 62% were robotic, and 38% were laparoscopic, with robotic surgery becoming most prevalent by the end of the study period. MIPD was associated with significantly longer operative times than OPD (p < 0.01). MIPD was associated with decreased odds of postoperative bleeding and surgical site infection (p < 0.01), but higher odds of death at 30 days.

conclusionsMIPD has been shown to have improved postoperative outcomes compared to OPD but is associated with longer operative times, which can be associated with increased complications.

Indexed as

LaparoscopyMinimally Invasive Surgical ProceduresPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsRobotic Surgical ProceduresAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedOperative TimeRetrospective StudiesSurvival Rateminimally invasivepancreatoduodenectomyprolonged operative timeroboticWhipple

Identifiers

PMID39616549
PMCPMC12120380

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Registered trials

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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.