World Journal of Surgical Oncology
Laparoscopic pancreaticoduodenectomy: are the best times coming?
World Journal of Surgical Oncology201917:81
© The Author(s). 2019
- Received: 14 March 2019
- Accepted: 1 May 2019
- Published: 10 May 2019
Abstract
Background
The introduction of laparoscopic technology has greatly promoted the development of surgery, and the trend of minimally invasive surgery is becoming more and more obvious. However, there is no consensus as to whether laparoscopic pancreaticoduodenectomy (LPD) should be performed routinely.
Main body
We summarized the development of laparoscopic pancreaticoduodenectomy (LPD) in recent years by comparing with open pancreaticoduodenectomy (OPD) and robotic pancreaticoduodenectomy (RPD) and evaluated its feasibility, perioperative, and long-term outcomes including operation time, length of hospital stay, estimated blood loss, and overall survival. Then, several relevant issues and challenges were discussed in depth.
Conclusion
The perioperative and long-term outcomes of LPD are no worse and even better in length of hospital stay and estimated blood loss than OPD and RPD except for a few reports. Though with strict control of indications, standardized training, and learning, ensuring safety and reducing cost are still and will always the keys to the healthy development of LPD; the best times for it are coming.
Keywords
- Laparoscopic
- Pancreaticoduodenectomy
- Open surgery
- Robotic
- Overall survival
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