Exploring the landscape of minimally invasive pancreatic surgery: Progress, challenges, and future directions  

作　　者：Greta Donisi Alessandro Zerbi 

机构地区：[1]Department of Biomedical Sciences,Humanitas University,Pieve Emanuele 20090,Milan,Italy [2]Department of Pancreatic Surgery,IRCCS Humanitas Research Hospital,Rozzano 20089,Milan,Italy

出　　处：《World Journal of Gastrointestinal Surgery》2024年第10期3094-3103,共10页世界胃肠外科杂志（英文）

摘　　要：Minimally invasive surgery(MI)has become the standard of care for many surgical procedures aimed at reducing the burden on patients.However,its adoption in pancreatic surgery(PS)has been limited by the pancreas’s unique location and the complexity of the dissection and reconstruction phases.These factors continue to contribute to PS having one of the highest morbidity and mortality rates in general surgery.Despite a rough start,MIPS has gained widespread acceptance in clinical practice recently.Robust evidence supports MI distal pancreatectomy safety,even in oncological cases,indicating its potential superiority over open surgery.However,definitive evidence of MI pancre-aticoduodenectomy(MIPD)feasibility and safety,particularly for malignant lesions,is still lacking.Nonetheless,reports from high-volume centers are emer-ging,suggesting outcomes comparable to those of the open approach.The robotic PS increasing adoption,facilitated by the wider availability of robotic platforms,may further facilitate the transition to MIPD by overcoming the technical con-straints associated with laparoscopy and accelerating the learning curve.Alth-ough the MIPS implementation process cannot be stopped in this evolving world,ensuring patient safety through strict outcome monitoring is critical.Investing in younger surgeons with structured and recognized training programs can promote safe expansion.

关 键 词：Minimally invasive surgery Minimally invasive pancreatic surgery Pancreatic surgery Robotic LAPAROSCOPIC PANCREATICODUODENECTOMY Distal pancrea-tectomy 

分 类 号：R656.6[医药卫生—外科学]