Evidence map›Paper›PMID 40904959›Full record

ReviewCureus2025

Minimally Invasive Pancreatoduodenectomy Compared to Open Pancreatoduodenectomy in Patients With Pancreatic Cancer: A Systematic Review.

Mariana Olvera Morales, Diego Santillán Alcántar, Jorge Marín Ramírez, Jorge A Romero Chávez, Jaime Alvarez-Gutierrez, Jesús R Ventolero Carbajal, Joaquín Raya Moreno, Jorge L Jiménez Rosas, José C Hernández González, Jennifer P Paxtor Quetuc and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Mariana Olvera MoralesGeneral Medicine, Universidad Autónoma de Guadalajara, Guadalajara, MEX.
Diego Santillán AlcántarGeneral Surgery, Instituto Mexicano del Seguro Social Regional General Hospital No. 46, Guadalajara, MEX.
Jorge Marín RamírezGeneral Medicine, Universidad Autónoma de Guadalajara, Villahermosa, MEX.
Jorge A Romero ChávezGeneral Medicine, ⁠⁠Universidad Autónoma de Durango Campus Zacatecas, Zacatecas, MEX.
Jaime Alvarez-GutierrezGeneral Surgery, Regional Hospital "Dr. Valentin Gomez Farias", Institute of Security and Social Services for the State Workers, Zapopan, MEX.
Jesús R Ventolero CarbajalGeneral Medicine, Universidad Autónoma del Estado de México, Ciudad de México, MEX.
Joaquín Raya MorenoGeneral Medicine, ⁠⁠Instituto Tecnológico de Estudios Superiores Monterrey, Monterrey, MEX.
Jorge L Jiménez RosasGeneral Medicine, Universidad Anáhuac México, Ciudad de México, MEX.
José C Hernández GonzálezGeneral Medicine, Universidad Nacional Autónoma de México, Ciudad de México, MEX.
Jennifer P Paxtor QuetucGeneral Medicine, ⁠⁠Universidad de San Carlos de Guatemala, Santa Elena, GTM.
Graciela G Andrade VáquizGeneral Medicine, Universidad de El Salvador, San Salvador, SLV.
Jose R Flores ValdésGeneral Physician, Oncology Consultants, Houston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma is one of the most lethal malignancies, with a five-year survival rate below 8%. For resectable cases, pancreatoduodenectomy remains the standard treatment. While the open approach has traditionally been the primary treatment, minimally invasive techniques are gaining popularity due to advancements in surgical technology. This review evaluates postoperative safety and long-term outcomes of minimally invasive pancreatoduodenectomy compared to open pancreatoduodenectomy in patients with pancreatic ductal adenocarcinoma. A comprehensive database search yielded 636 articles, of which 9 studies met our inclusion criteria and were retrieved for analysis. These comprised eight cohort studies and one randomized controlled trial, including a total of 13,159 participants. Findings suggest that minimally invasive pancreatoduodenectomy may offer benefits, such as reduced blood loss, shorter hospital stays, faster recovery, and comparable surgical outcomes, making it a promising alternative to open pancreatoduodenectomy. However, minimally invasive approaches are also associated with challenges such as longer operative times and increased technical complexity. Therefore, further research and structured surgical training are essential to optimize clinical outcomes and guide decision-making.

Indexed as

minimally invasiveopen surgerypancreatic cancerpancreatic resectionpancreatoduodenectomy

Identifiers

PMID40904959
PMCPMC12402526

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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.