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EnglishBackground: Minimally invasive pancreaticoduodenectomy (MIPD) has recently been safely performed by experts, and various methods for resection have been reported. This review summarizes the literature describing surgical approaches for MIPD. Methods: A systematic literature search of PubMed (MEDLINE) was conducted for studies reporting robotic and laparoscopic pancreaticoduodenectomy; the reference lists of review articles were searched. Of 444 articles yielded, 23 manuscripts describing the surgical approach to dissect around the superior mesenteric artery (SMA), including hand-searched articles, were assessed. Results: Various approaches to dissect around the SMA have been reported. These approaches were categorized according to the direction toward the SMA when initiating dissection around the SMA: anterior approach (two articles), posterior approach (four articles), right approach (16 articles), and left approach (three articles). Thus, many reports used the right approach. Most articles provided a technical description. Some articles showed the advantage of their method in a comparison study. However, these were single-center retrospective studies with a small sample size. Conclusions: Various approaches for MIPD have been reported; however, few authors have reported the advantage of their methods compared to other methods. Further discussion is needed to clarify the appropriate surgical approach to the SMA during MIPD.
| Autori interni: | ||
| Autori: | Nagakawa, Y.; Watanabe, Y.; Kozono, S.; Boggi, U.; Palanivelu, C.; Liu, R.; Wang, S. -E.; He, J.; Nishino, H.; Ohtsuka, T.; Ban, D.; Nakata, K.; Endo, I.; Tsuchida, A.; Nakamura, M.; Abu Hilal, M.; Asbun, H. J.; Boggi, U.; Goh, B. K. P.; He, J.; Honda, G.; Jang, J. -Y.; Kang, C. M.; Kooby, D. A.; Nakamura, Y.; Shrikhande, S. V.; Tang, C. -N.; Wolfgang, C. L.; Yiengpruksawan, A.; Yoon, Y. -S.; Berardi, G.; Higuchi, R.; Takaori, K.; Ikenaga, N.; Garbarino, G. M.; Ishikawa, Y.; Maekawa, A.; Murase, Y.; Zimmitti, G.; Sakuma, L. | |
| Titolo: | Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review | |
| Anno del prodotto: | 2022 | |
| Abstract: | Background: Minimally invasive pancreaticoduodenectomy (MIPD) has recently been safely performed by experts, and various methods for resection have been reported. This review summarizes the literature describing surgical approaches for MIPD. Methods: A systematic literature search of PubMed (MEDLINE) was conducted for studies reporting robotic and laparoscopic pancreaticoduodenectomy; the reference lists of review articles were searched. Of 444 articles yielded, 23 manuscripts describing the surgical approach to dissect around the superior mesenteric artery (SMA), including hand-searched articles, were assessed. Results: Various approaches to dissect around the SMA have been reported. These approaches were categorized according to the direction toward the SMA when initiating dissection around the SMA: anterior approach (two articles), posterior approach (four articles), right approach (16 articles), and left approach (three articles). Thus, many reports used the right approach. Most articles provided a technical description. Some articles showed the advantage of their method in a comparison study. However, these were single-center retrospective studies with a small sample size. Conclusions: Various approaches for MIPD have been reported; however, few authors have reported the advantage of their methods compared to other methods. Further discussion is needed to clarify the appropriate surgical approach to the SMA during MIPD. | |
| Digital Object Identifier (DOI): | 10.1002/jhbp.905 | |
| Appare nelle tipologie: | 1.1 Articolo in rivista |
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