Surgical Strategies to Dissect around the Superior Mesenteric Artery in Robotic Pancreatoduodenectomy

Article Surgery

Outcomes of a Multicenter Training Program in Robotic Pancreatoduodenectomy (LAELAPS-3)

Maurice J. W. Zwart et al.

Summary: This study assessed the feasibility and safety of a multicenter training program in robotic pancreatoduodenectomy (RPD) and found that it was feasible without a negative impact from the learning curve on clinical outcomes.

ANNALS OF SURGERY (2022)

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Article Gastroenterology & Hepatology

Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review

Yuichi Nagakawa et al.

Summary: This review explores various surgical approaches for MIPD focusing on dissection around the SMA, but most studies are single-center retrospective studies with small sample sizes. Further discussion is needed to clarify the appropriate surgical approach to the SMA during MIPD.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2022)

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Article Gastroenterology & Hepatology

Prognosis of pancreatic head cancer with different patterns of lymph node metastasis

Seung Ki Min et al.

Summary: This study found that lymph node metastasis beyond the peripancreatic area significantly affects the overall survival of patients with pancreatic head cancer. Different risk stratification and treatment strategies need to be considered depending on the station of the lymph node metastasis.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2022)

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Review Oncology

Minimally invasive surgery for pancreatic cancer-are we there yet? A narrative review

Manish S. Bhandare et al.

Summary: This review article evaluates the current status of minimally invasive pancreatic resections (MIPR) for pancreatic ductal adenocarcinoma (PDAC). The available evidence confirms the feasibility and safety of MIPR, but there remains controversy regarding its widespread application for PDAC due to a lack of high-quality studies evaluating long-term outcomes. Further research is needed to establish exact indications, appropriate patient selection, cost implications, and learning curve issues.

CHINESE CLINICAL ONCOLOGY (2022)

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Article Oncology

Surgical Strategies to Approaching the Splenic Artery in Robotic Distal Pancreatectomy

Kosei Takagi et al.

Summary: This study proposes a standardized technique for robotic distal pancreatectomy (RDP), focusing on surgical approaches and anatomical landmarks adjacent to the splenic artery (SpA). The anatomical patterns of SpA were classified into three types, and the surgical strategy for approaching the SpA was determined based on the location of the pancreatic transection line. The results demonstrate that the standardized surgical strategy based on anatomical landmarks could help trainees approach the SpA and perform RDP safely.

ANTICANCER RESEARCH (2022)

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Article Oncology

Surgical training model and safe implementation of robotic pancreatoduodenectomy in Japan: a technical note

Kosei Takagi et al.

Summary: The study presents a surgical training model and standardized protocol for robotic pancreatoduodenectomy (RPD) based on collaboration with the University of Pittsburgh Medical Center. The structured training program aims to achieve safe implementation of RPD in Japan by understanding tips, tricks, and pitfalls of the surgical technique.

WORLD JOURNAL OF SURGICAL ONCOLOGY (2021)

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Review Surgery