Spleen-preserving distal pancreatectomy from multi-port to reducedport surgery approach  

作　　者：Ching-Lung Hsieh Tung-Sheng Tsai Cheng-Ming Peng Teng-Chieh Cheng Yi-Jui Liu 

机构地区：[1]Department of Computer Science and Information Engineering,Feng Chia University,Taichung 40724,Taiwan,China [2]Department of Surgery,Chung Shan Medical University Hospital,Taichung 40201,Taiwan,China [3]PhD Program of Electrical and Communications Engineering,Feng Chia University,Taichung 40724,Taiwan [4]School of Medicine,Chung Shan Medical University,Taichung 40201,Taiwan [5]Da Vinci Minimally Invasive Surgery Center,Chung Shan Medical University Hospital,Taichung 40201,Taiwan [6]Department of Automatic Control Engineering,Feng Chia University,Taichung 407,Taiwan

出　　处：《World Journal of Gastrointestinal Surgery》2023年第7期1501-1511,共11页世界胃肠外科杂志（英文版）（电子版）

基　　金：Chung Shan Medical University,No.15I42440;Feng Chia University/Chung Shan Medical University,No.FCU/CSMU104-001;and Taiwan National Science and Technology Council,No.111-2314-B-035-001-MY3 and No.110-2221-E-035-016.

摘　　要：BACKGROUND Minimally invasive pancreatic surgery via the multi-port approach has become a primary surgical method for distal pancreatectomy(DP)due to its advantages of lower wound pain and superior cosmetic results.Some studies have applied reduced-port techniques for DP in an attempt to enhance cosmetic outcomes due to the minimally invasive effects.Numerous recent review studies have compared multi-port laparoscopic DP(LDP)and multi-port robotic DP(RDP);most of these studies concluded multi-port RDP is more beneficial than multi-port LDP for spleen preservation.However,there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port RDP.AIM To search for and review the studies on spleen preservation and the clinical outcomes of minimally invasive DP that compared reduced-port DP surgery with multi-port DP surgery.METHODS The PubMed medical database was searched for articles published between 2013 and 2022.The search terms were implemented using the following Boolean search algorithm:(“distal pancreatectomy”OR“left pancreatectomy”OR“peripheral pancreatic resection”)AND(“reduced-port”OR“single-site”OR“single-port”OR“dual-incision”OR“single-incision”)AND(“spleen-preserving”OR“spleen preservation”OR“splenic preservation”).A literature review was conducted to identify studies that compared the perioperative outcomes of reduced-port LDP and reduced-port RDP.RESULTS Fifteen articles published in the period from 2013 to 2022 were retrieved using three groups of search terms.Two studies were added after manually searching the related papers.Finally,10 papers were selected after removing case reports(n=3),non-English language papers(n=1),technique papers(n=1),reviews(n=1),and animal studies(n=1).The common items were defined as items reported in more than five papers,and data on these common items were extracted from all papers.The ten studies included a total of 337 patients(females/males:231/106)who underwent DP.In total,166 patients(females/males,10

关 键 词：Minimally invasive surgery Robotic distal pancreatectomy Laparoscopic distal pancreatectomy Spleen preservation Reduced-port MULTI-PORT 

分 类 号：R657.5[医药卫生—外科学]