Evidence map›Paper›PMID 40483316›Full record

ReviewAnnals of surgical oncology2025

The Landmark Series: Minimally Invasive Pancreatic Resection for Ductal Adenocarcinoma, Updates, Trends, and Future Considerations.

Adrian Diaz, Sarah Hays, Melissa E Hogg

Abstract readReview
In one paragraph

Review in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

3 authors.

Adrian DiazDepartment of Surgery, University of Chicago, Chicago, IL, USA. Adrian.diaz@uchicagomedicine.org.
Sarah HaysDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Melissa E HoggDepartment of Surgery, NorthShore University Health System, Evanston, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic ductal adenocarcinoma (PDAC) remains a formidable malignancy, with historically high morbidity and mortality following surgical resection. Over the past two decades, minimally invasive pancreatic resection (MIPR)-encompassing both laparoscopic and robotic approaches-has emerged as a promising alternative to conventional open techniques, offering potential advantages in perioperative recovery while aiming to maintain oncologic standards.

objectiveThis review aims to synthesize the evidence guiding the adoption of MIPR for PDAC and to highlight technical innovations, training considerations, and future directions in this evolving field.

methodsA focused appraisal of key retrospective analyses, prospective randomized trials, and meta-analyses was conducted. Emphasis was placed on oncologic outcomes, perioperative morbidity, learning curve dynamics, and patient selection criteria.

resultsOverall, the studies reviewed suggest that MIPR can achieve equivalent oncologic outcomes-specifically in margin status and lymph node yield-relative to open resection. Advantages include reduced intraoperative blood loss, shorter hospital stays, and faster functional recovery, most consistently demonstrated for distal pancreatectomy. However, the technical complexity of minimally invasive pancreatoduodenectomy necessitates structured training and high-volume centers to mitigate safety concerns. Increasing use of neoadjuvant therapy also intersects with MIPR, necessitating careful patient selection and multidisciplinary coordination.

conclusionsMinimally invasive pancreatic resection has become a valid option for patients with PDAC, particularly for distal lesions, and holds promise for broader application pending further refinements. Rigorous training programs, thoughtful patient selection, and ongoing trials will be crucial to optimizing outcomes and solidifying MIPR as a mainstay in pancreatic cancer management.

Indexed as

Carcinoma, Pancreatic DuctalLaparoscopyMinimally Invasive Surgical ProceduresPancreatectomyPancreatic NeoplasmsRobotic Surgical ProceduresHumansPrognosis

Identifiers

PMID40483316
PMCPMC12317861

What OpenQuestion holds

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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.