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Methods Collections

Minimally Invasive Pancreatic Surgery 

Collection Overview

Minimally invasive pancreatic surgery is on the rise worldwide. Minimally invasive distal pancreatectomy (MIDP) has been reported to be superior to open distal pancreatectomy (ODP) in terms of blood loss and hospital stay. The oncological safety of MIDP for pancreatic cancer, however, remains uncertain and randomized controlled trials are needed (Riviere et al, Cochrane Database Syst Rev 2016). Interestingly, a recent study comparing open and minimally invasive pancreatoduodenectomy (MIPD), found similar morbidity and hospital stay, but higher rates of postoperative pancreatic fistula in the MIPD group (Klompmaker et al, Ann Surg 2018). These results may be related to the steep learning curve in MIPD suggesting the need of careful patients selection, access to a high number of patients and intense training for a safe implementation of this procedure.

In this collection, laparoscopic and robot-assisted procedures (both MIDP and MIPD) performed by world-renowned pancreatic surgeons are shown. 

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