Background: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low-and high-volume centers across Europe.Methods: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.Results: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0% (IQR 39.0-77.3%) and median use of MIPD 27.7% (IQR 9.7-45.3%). MIDP was mostly performed laparoscopic (401/558, 71.9%) and MIPD mostly robotic (234/401, 58.3%). MIPD was performed in 50/54 (89.3%) centers, of which 15/50 (30.0%) performed >= 20 MIPD annually. This was 30/ 54 (55.6%) centers and 13/30 (43%) centers for MIPD respectively. Conversion rate was 10.9% for MIDP and 8.4% for MIPD. Overall 90 day mortality was 1.1% (n = 6) for MIDP and 3.7% (n = 15) for MIPD.Conclusion: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.

Use and outcome of minimally invasive pancreatic surgery in the European E-MIPS registry

Boggi, Ugo;
2023-01-01

Abstract

Background: The European registry for minimally invasive pancreatic surgery (E-MIPS) collects data on laparoscopic and robotic MIPS in low-and high-volume centers across Europe.Methods: Analysis of the first year (2019) of the E-MIPS registry, including minimally invasive distal pancreatectomy (MIDP) and minimally invasive pancreatoduodenectomy (MIPD). Primary outcome was 90-day mortality.Results: Overall, 959 patients from 54 centers in 15 countries were included, 558 patients underwent MIDP and 401 patients MIPD. Median volume of MIDP was 10 (7-20) and 9 (2-20) for MIPD. Median use of MIDP was 56.0% (IQR 39.0-77.3%) and median use of MIPD 27.7% (IQR 9.7-45.3%). MIDP was mostly performed laparoscopic (401/558, 71.9%) and MIPD mostly robotic (234/401, 58.3%). MIPD was performed in 50/54 (89.3%) centers, of which 15/50 (30.0%) performed >= 20 MIPD annually. This was 30/ 54 (55.6%) centers and 13/30 (43%) centers for MIPD respectively. Conversion rate was 10.9% for MIDP and 8.4% for MIPD. Overall 90 day mortality was 1.1% (n = 6) for MIDP and 3.7% (n = 15) for MIPD.Conclusion: Within the E-MIPS registry, MIDP is performed in about half of all patients, mostly using laparoscopy. MIPD is performed in about a quarter of patients, slightly more often using the robotic approach. A minority of centers met the Miami guideline volume criteria for MIPD.
2023
van der Heijde, Nicky; Vissers, Frederique L; Manzoni, Alberto; Zimmitti, Giuseppe; Balsells, Joaquim; Berrevoet, Frederik; Bjornsson, Bergthor; van den Boezem, Peter; Boggi, Ugo; Bratlie, Svein O; Burdio, Fernando; Coratti, Andrea; D'Hondt, Mathieu; Del Pozo, Carlos D; Dokmak, Safi; Fara, Regis; Can, Mehmet F; Festen, Sebastiaan; Forgione, Antonello; Fristrup, Claus; Gaujoux, Sebastien; Groot Koerkamp, Bas; Hackert, Thilo; Khatkov, Igor E; Keck, Tobias; Seppänen, Hanna; Lips, Daan; Luyer, Misha; Pittau, Gabriella; Maglione, Manuel; Molenaar, I Quintus; Pessaux, Patrick; Roeyen, Geert; Saint-Marc, Olivier; Cabus, Santiago S; van Santvoort, Hjalmar; van der Schelling, George; Serradilla-Martin, Mario; Souche, Francois-Regis; Suarez Muñoz, Miguel Á; Marino, Marco V; Besselink, Marc G; Abu Hilal, Mohammed
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/1190328
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